Nongynecologic Causes of Unexplained Lower Abdomiinal Pain in Adolescent Girls

Author:

Cavanaugh Robert M.1

Affiliation:

1. Department of Pediatrics, State University of New York, Health Science Center at Syracuse, New York

Abstract

Unexplained lower abdominal pain in young women can present a challenge for even the most experienced clinicians. Although the cause is usually benign and self-limited, occasionally a serious underlying disorder exists. Clinicians should have an organized approach for diagnosis and management in an effort to avoid any unnecessary tests or referrals. The most important elements of the evaluation are a thorough history, careful physical, and sequential follow-up as needed. Selective use of the laboratory and radiographic studies should be considered on an individual basis. This paper describes four disorders in adolescent girls that may present with pain in the lower abdominal region and closely resemble pathologic conditions within the gynecologic tract. Practitioners who provide services to young women should be aware of these entities so that the correct diagnosis is established as soon as possible and appropriate therapy initiated in a timely fashion.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology and Child Health

Reference11 articles.

1. 1. Greydanus D, Hofmann A. Adolescent Medicine. 2nd ed. Norwalk, CT: Appleton & Lange; 1989:139-139.

2. 2. Burg FD, Ingelfinger JR, Wald ER. Gellis and Kagan's Current Pediatric Therapy. 14th ed. Philadelphia: WB Saunders Co.; 1993:202-202.

3. 4. Neinstein LS. Adolescent Health Care: A Practical Guide. 2nd ed. Baltimore: Urban & Schwarzenberg; 1991:511-511.

4. Neurogenic Bladder Dysfunction

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