Women presenting with lower abdominal pain: A missed opportunity for chlamydia screening?

Lloyd, Thomas; Malin, GL; Pugsley, Harriet; Garcea, Alessio; Garcea, Giuseppe; Dennison, Ashley R.; Berry, David P.; Mj, Kelly

doi:10.1016/s1479-666x(06)80016-8

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Furthermore, a positive history for sexually transmitted diseases must be investigated to support the diagnosis of PID (with a specificity of 82%). Other authors [10] consider mandatory for a woman of childbearing age with non-specific abdominal symptoms to routinely perform both a complete abdominal examination and a pelvic-gynecological examination. Kruska [11] in 2010 summarized the symptoms of PID and acute appendicitis.…”

Section: Clinical Diagnosismentioning

confidence: 99%

"Acute Abdomen in Woman of Childbearing Age: Appendicitis or Pelvic Inflammatory Disease? A Systematic Review"

Perrone¹

2021

BJSTR

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Acute abdomen is a clinical presentation that requires emergency surgical treatment in many cases, rapid diagnosis is oftentimes essential. The diagnoses associated with an acute abdomen vary according to age and gender [1], and it is more difficult in young women, in which it is necessary to distinguish between gynecological and non-gynecological diseases (Table 1).Non-gynecological causes include appendicitis, which remains one of the main causes of acute abdomen in childbearing women. The diagnosis of acute appendicitis is essentially clinical. Appendicitis can initially present with periumbilical pain that migrates to the right ARTICLE INFO ABSTRACTAcute abdomen in women of childbearing age is a clinical presentation that requires emergency surgical treatment in many cases and rapid diagnosis is oftentimes essential. Most are the causes of acute abdomen: gynecological (ectopic pregnancy, ovarian torsion, ovarian cysts, endometriosis, pelvic inflammatory disease) and non-gynecological (appendicitis, Crohn's disease, Meckel's diverticulitis, sigmoid diverticulitis, perforated peptic ulcer, viral gastroenteritis, hernias, urological disease). Appendicitis and pelvic inflammatory disease (PID) are two of the most common causes of abdominal pain in women of childbearing age. This article is a systematic review of literature of the differential diagnosis between appendicitis and PID. The diagnosis is clinical, laboratory and radiological. When the sign and symptoms and the biochemical markers are nonspecific abdominal ultrasound (US) is the first radiological test that is performed, but the computer tomography (CT) remains the best specific and sensible exam for the differential diagnosis. Nuclear Magnetic Resonance is performed when CT is contraindicated. Other test like transvaginal ultrasound is a relatively simple and inexpensive diagnostic test that could easily complement the classic abdominal US and be part of the routine diagnostic protocol of women with acute abdominal pain. Therefore, a careful management of the patient starting from the clinical examination and passing through the laboratory and radiological characteristics is necessary.

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Section: Clinical Diagnosismentioning

confidence: 99%