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Arch Iran Med. 2013 Jul;16(7):397-400. doi: 013167/AIM.007.

Acute pelvic pain: evaluation of 503 cases.

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Izmir Ege (Aegean) Maternity and Gynecology Training and Research Hospital, Izmir, Turkey.



The aim of this study was to investigate the etiology according to the age groups (adolescent, reproductive, and perimenopausal / menopausal periods) of women who were admitted with complaints of acute pelvic pain (APP).


Data from 503 patients diagnosed with APP were evaluated retrospectively. The patients were divided into three groups according to their ages. The adolescent group consisted of patients who were 19 years of age and under (Group A), the reproductive age group consisted of patients who were between the ages of 20 and 44 years (Group B), and the perimenopausal / menopausal group consisted of patients who were at the age of 45 and above (Group C). The most common causes of APP among the three groups were investigated.


The mean age was 29.9 ± 6.01 years. Gynecologic factors were present in 469 cases, APP was nongynecologic in nature in 24 cases, while the cause was unknown in 10 cases. The patients were evaluated in terms of APP duration, accompanying symptoms, and pain localization. There were 36 cases in the adolescent group, 361 cases in the reproductive age group, and 72 cases in the perimenopausal / menopausal group. Adnexal pathologies were the most commonly observed APP factor in all three groups.


APP was most commonly observed in the reproductive period, and adnexal pathologies and infections were etiologically prominent. Early and accurate diagnosis of APP will often enable more effective and conservative treatment methods for life-threatening pathologies.

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