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Case 18 - A 14-Year-Old Adolescent with Cyclic Pelvic Pain and Amenorrhea

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 14-year-old presents to the emergency department with pelvic pain, abdominal distention, and urinary retention. She began having vague abdominal discomfort and cramping several months ago. Recently, the symptoms are much more intense. Her mother reports a similar painful episode about three to four weeks ago, which improved after several days with rest and ibuprofen. They presented to the emergency department now because the patient was unable to void. The patient denies constipation, fever, nausea, vomiting, or sexual activity. She is healthy, taking no medications, and never had surgery. She experienced thelarche at age 10 years and has not yet begun menstruation.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 49 - 51
Publisher: Cambridge University Press
Print publication year: 2021

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References

Hewitt, G. Pediatric and adolescent gynecologic surgery. In: Handa, V, Van Le, L, eds., Te Linde’s Operative Gynecology, 12th ed. Philadelphia: Lippincott Williams & Wilkins. 2020; 732–45.Google Scholar
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Management of acute obstructive uterovaginal anomalies: ACOG Committee Opinion, Number 779. Obstet Gynecol 2019; 133: e363–71.Google Scholar
Schober, J, Dulabon, L, Martin-Alguacil, N, et al. Significance of topical estrogens to labial fusion and vaginal introital integrity. J Pediatr Adoles Gynecol 2006; 19: 337–9.Google ScholarPubMed

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