Laparoscopy in the diagnosis of chronic pelvic pain in adolescent women

Vercellini P, Paolo Vercellini, P Vercellini, Luigi Fedele, Fedele L, L Fedele, Luca Arcaini, Arcaini L, L Arcaini, Bianchi S, S Bianchi, Stefano Bianchi, Rognoni MT, Maria Teresa Rognoni, M T Rognoni, G Candiani, G B Candiani, Candiani GB
The Journal of reproductive medicine · 1989 · vol. 34(10) , pp. 827–30 · PMID:2529373 · W2395304409
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Laparoscopy diagnosed pelvic abnormalities in 60% of adolescent women with chronic pelvic pain, identifying endometriosis, genital tract malformations, and other pathologies.

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Abstract

Chronic pelvic pain (CPP) in adolescent women is a frequent complaint. We assessed the value of laparoscopy in the differential diagnosis of CPP in 47 adolescents 11-19 years old after six months or more of cyclic or acyclic pelvic pain. No pelvic abnormalities were detected in 19 patients (40.4%), endometriosis was detected in 18 (38.3%) (frequently with nonpigmented or "nonclassic" lesions), partially obstructive genital tract malformations were found in 4 (8.4%), and other types of pathology were discovered in 6 (12.8%). Nearly 60% of the patients had a treatable pelvic disease. Laparoscopy is an invaluable tool in the diagnosis of CPP in adolescents and should be performed before starting a psychiatric evaluation or prescribing long-term medical treatment.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Laparoscopy Pain Pelvis Pelvis Adolescent Adolescent Child Child Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Endometriosis Endometriosis Evaluation Studies as Topic Evaluation Studies as Topic Female Female Humans

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License: CC0 · commercial use OK