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SCIENTIFIC LETTER
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Laparoscopic Surgery in the Evaluation of Acute Pelvic Pain
Received: 04 Aug 2022 | Accepted: 24 Jan 2023 | Available online: 27 Jan 2023
JCOG. 2023;33(1):43-5
DOI: 10.5336/jcog.2022-92762
Article Language: EN
Article Language: EN
Copyright Ⓒ 2024 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Acute pelvic pain (APP) is non-specific with a 5% to 10% prevalence of visits per annum to emergency. The multiple organ systems within the pelvis, result in diagnostic error, with an estimated 45% of pre-menopausal women misdiagnosed. Unfortunately, diagnostic accuracy cannot always be ascertained with physical examination or imaging; however, direct visualisation of the pelvic cavity via laparoscopic surgery provides a more conclusive diagnostic approach. This letter aims to explore the various aetiologies of APP in women and the current modalities utilised in the diagnostic pathway. The primary aim of this letter is to propose laparoscopic surgery as a possible diagnostic modality to evaluate APP in women.
Acute pelvic pain (APP) is non-specific with a 5% to 10% prevalence of visits per annum to emergency. The multiple organ systems within the pelvis, result in diagnostic error, with an estimated 45% of pre-menopausal women misdiagnosed. Unfortunately, diagnostic accuracy cannot always be ascertained with physical examination or imaging; however, direct visualisation of the pelvic cavity via laparoscopic surgery provides a more conclusive diagnostic approach. This letter aims to explore the various aetiologies of APP in women and the current modalities utilised in the diagnostic pathway. The primary aim of this letter is to propose laparoscopic surgery as a possible diagnostic modality to evaluate APP in women.
KEYWORDS: Pelvic pain; acute; non-specific lower abdominal pain; diagnostic laparoscopy; laparoscopic surgery
REFERENCES:
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- Kruszka PS, Kruszka SJ. Evaluation of acute pelvic pain in women. Am Fam Physician. 2010;82(2):141-7. [Link]
- Mikkelsen AL, Felding C. Laparoscopy and ultrasound examination in women with acute pelvic pain. Gynecol Obstet Invest. 1990;30(3):162-4. [Crossref] [PubMed]
- Murphy A, Fliegner J. Diagnostic laparoscopy: role in management of acute pelvic pain. Med J Aust. 1981;1(11):571-3. [Crossref] [PubMed]
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