Atypical clinical cases of the chronic pelvic pain syndrome in gynecologic practice

Vitaliy Fedorovich Bezhenar, Anna A. Tsypurdeyeva, А. С. Молотков, I. V. Vartanova, Э. В. Комличенко, Valeriy Nikolayevich Danilin, Yuliya Anatolyevna Pobedintseva
In: Journal of obstetrics and women's diseases · 2014 · vol. 63(2) , pp. 59–66 · doi:10.17816/jowd63259-66 · W2338453273
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This report presents three cases of chronic pelvic pain caused by rare pathologies, detailing diagnostic algorithms and laparoscopic findings to inform gynecologists, pathologists, and anesthesiologists.

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This paper reviews atypical clinical presentations of chronic pelvic pain syndrome within gynecologic practice, drawing on case analyses from Russian medical institutions. The authors highlight the diagnostic challenges posed by non-standard symptomatology and emphasize the importance of distinguishing this syndrome from other pathological conditions through comprehensive evaluation. They discuss various therapeutic approaches while noting that treatment outcomes can be variable depending on the underlying etiology and patient-specific factors. Relevance to endometriosis: listed among references for pelvic pain management, though the paper's main focus is the broader syndrome of chronic pelvic pain rather than endometriosis specifically.

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Abstract

Three case reports of patients with chronic pelvic pain caused rare pathology described in this article. Diagnostic algorithm, results of examination, laparoscopic findings were shown. These case reports may be interesting for gynecologists, pathologists, anesthesiologists.
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Abstract

Keywords Full Text About the authors Vitaliy Fedorovich Bezhenar D. O. Ott Research Institute of Obstetrics and Gynecology, RAMS Email: [email protected] professor, The Head of Operative Gynecology Department Anna Alekseyevna Tsypurdeyeva D. O. Ott Research Institute of Obstetrics and Gynecology, RAMS Email: [email protected] researcher Arseniy Sergeyevich Molotkov D. O. Ott Research Institute of Obstetrics and Gynecology, RAMS Email: [email protected] gynecologist, Department of Operative Gynecology Irina Vladimirovna Vartanova D. O. Ott Research Institute of Obstetrics and Gynecology, RAMS Email: [email protected] researcher, Department of Anesthesiology and Reanimation Eduard Vladimirovich Komlichenko Almazov Federal Medical Research Centre Email: [email protected] PhD, Head of Operative Gynecology Department Valeriy Nikolayevich Danilin Almazov Federal Medical Research CentreHead of Surgery Department Yuliya Anatolyevna Pobedintseva Almazov Federal Medical Research Centre Email: [email protected] Head of Department of Anesthesiology and Reanimation

References

- Ishchenko A. I., Kudrina E. A. Endometrioz: Diagnostika i lechenie. [Endometriosis: Diagnostics and treatment] M.: GEOTAR-Med; 2002 (in Russian). - Makatsariya A. D., Bitsadze V. O. Tazovaya bol' v ginekologii. [Pelvic pain in gynecology] Ginekologiya. 2011; 13 (1): 39-44 (in Russian). - Rymashevskiy N. V. Printsipy lecheniya sindroma tazovykh algiy u zhenshchin. [The principles of treatment of a syndrome of pelvic pain at women] Aktual'nye voprosy akusherstva i ginekologii. 2001; l (1): 103 (in Russian). - Yarotskaya E. L., Adamyan L. V. Osobennosti taktiki vedeniya bol'nykh endometriozom, stradayushchikh tazovymi bolyami. [Features of treatment tactics of patients with the endometriosis having pelvic pain] Zhurnal akusherstva i zhenskikh bolezney. 2002; 51 (3): 35-40 (in Russian). - Breivik H., Borchgrevink P. C., Allen S. M., Rosseland L. A., Romundstad L., Hals E. K., Kvarstein G., Stubhaug A. Assessment of pain. British Journal of Anaesthesia. 2008; 101 (1): 17-24. - Flor H., Turk D. C. Chronic Pain: An Integrated Biobehavioral Approach. Seattle: IASP Press; 2011. - Kumar S., Sharma J. B., Verma D., Gupta P., Roy K. K., Malhotra N. Disseminated peritoneal leiomyomatosis: an unusual complication of laparoscopic myomectomy. Arch Gynecol Obstet. 2008; 278 (1): 93-95. - Lefebvre G., Pinsonneault O., Antao V., Black A., Burnett M., Feldman K., Lea R., Robert M. Primary Dysmenorrhea Consensus Guideline. J Obstet Gynaecol Can. 2005; 27 (12): 1117-1146. - The Practice Committee of the American Society for Reproductive Medicine. Treatment of pelvic pain associated with endometriosis. Fertil Steril. 2008; 90: 260-269. - AAGL MEMBER UPDATE: Disseminated Leiomyosarcoma With Power Morcellation. Available at: http://www.aagl.org/aaglnews/aagl-member-update-disseminated-leiomyosarcoma-with-power-morcellation (accessed 06.04.2014).

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