最后审阅: 18 九月 2021
最后更新: 23 二月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 腹痛
  • 恶心、呕吐或腹泻
  • 腹部/盆腔压痛
  • 可触及的附件肿块

其他诊断因素

  • 新生儿喂食不能、呕吐、腹胀及吵闹不安
  • 剧烈运动
  • 腹膜征
  • 宫颈举痛
  • 发热

危险因素

  • 卵巢肿瘤
  • 卵巢囊肿
  • 卵巢冠囊肿
  • 输卵管积水
  • 妊娠
  • 不育症治疗
  • 剧烈运动
  • 腹腔压力突然升高

诊断性检查

首要检查

  • 全血细胞计数(FBC
  • 妊娠试验
  • 带有多普勒血流的经阴道超声
  • 腹部超声
  • 基因探针或宫颈培养物
  • 尿液分析
  • 手术所见

需考虑的检查

  • 腹部/盆腔 CT
  • 腹部/骨盆 MRI

治疗流程

急症处理

撰稿人

作者

Dr Sareena Singh, MD, FACOG

Assistant Professor

Department of Obstetrics and Gynecology

Northeast Ohio Medical University

Rootstown

OH

Chief of Gynecologic Oncology

Aultman Hospital

Canton

OH

利益声明

SS declares that she has no competing interests.

鸣谢

Dr Sareena Singh would like to gratefully acknowledge Dr Michael P. Hopkins, Dr Jay R. Patibandla, Dr John C. Nulsen, and Dr Vanessa N. Weitzman, the previous contributors to this topic.

利益声明

MPH, JRP and JCN declare that they have no competing interests. VNW is an author of a reference cited in this topic.

同行评议者

Adam Magos, BSc, MB, BS, MD, FRCOG

Consultant Gynaecologist

University Department of Obstetrics and Gynaecology

Royal Free Hospital

London

UK

利益声明

AM declares that he has no competing interests.

Joseph Sanfilippo, MD, MBA

Professor

Department of Obstetrics

Gynecology and Reproductive Sciences

Vice Chairman

Reproductive Sciences

Director

Division of Reproductive Endocrinology and Infertility

University of Pittsburgh

Pittsburgh

PA

利益声明

JS declares that he has no competing interests.

Howard Sharp, MD

Associate Professor and Chief

General Division of Obstetrics and Gynecology

University of Utah School of Medicine

Salt Lake City

UT

利益声明

HS has been reimbursed for attending and participating in conferences on pelvic varicosity pain syndrome by Cook Inc.

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