Summary
Definition
History and exam
Key diagnostic factors
- abdominal pain
- nausea, vomiting, or diarrhoea
- abdominal/pelvic tenderness
- palpable adnexal mass
Other diagnostic factors
- feeding intolerance, vomiting, abdominal distension, and fussiness (neonates)
- strenuous exercise
- peritoneal signs
- cervical motion tenderness
- fever
Risk factors
- ovarian neoplasm
- ovarian cyst
- para-ovarian cyst
- hydrosalpinx
- pregnancy
- infertility treatment
- strenuous exercise
- sudden increased abdominal pressure
Diagnostic investigations
1st investigations to order
- FBC
- pregnancy test
- transvaginal ultrasound with Doppler flow
- abdominal ultrasound
- genetic probe or cervical culture
- urinalysis
- surgical visualisation
Treatment algorithm
Contributors
Authors
Professor
Department of Obstetrics and Gynecology
Northeast Ohio Medical University
Aultman Health Foundation OB/GYN Residency
Canton
OH
Disclosures
MPH declares that he has no competing interests.
Dr Michael P. Hopkins would like to gratefully acknowledge Dr Jay R. Patibandla, Dr John C. Nulsen, and Dr Vanessa N. Weitzman, the previous contributors to this topic.
Disclosures
JRP delares that he has no competing interests. JCN is an author of a reference cited in this topic. VNW is an author of a reference cited in this topic.
Peer reviewers
Consultant Gynaecologist
University Department of Obstetrics and Gynaecology
Royal Free Hospital
London
UK
Disclosures
AM declares that he has no competing interests.
Professor
Department of Obstetrics
Gynecology and Reproductive Sciences
Vice Chairman
Reproductive Sciences
Director
Division of Reproductive Endocrinology and Infertility
University of Pittsburgh
Pittsburgh
PA
Disclosures
JS declares that he has no competing interests.
Associate Professor and Chief
General Division of Obstetrics and Gynecology
University of Utah School of Medicine
Salt Lake City
UT
Disclosures
HS has been reimbursed for attending and participating in conferences on pelvic varicosity pain syndrome by Cook Inc.
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