Proctalgia Fugax, Levator Spasm, and Pelvic Pain: Evaluation and Differential Diagnosis

  • Amir L. Bastawrous
  • Jennifer K. Lee


Anorectal and pelvic pain are common complaints that patients hesitate to bring to a physician’s attention for various reasons. Most causes of acute pain can be readily identified by a history and physical exam and, fortunately, most can be treated and cured. Untreated symptoms can lead to chronic pain, which can be more challenging to diagnose and treat. This chapter aims to outline the approach to the patient and to describe the broad differential of both acute and chronic causes of anorectal and pelvic pain.


Anorectal pain Pelvic pain Levator syndrome Proctalgia fugax Proctitis 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Swedish Colon and Rectal Clinic, Swedish Cancer InstituteSeattleUSA

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