Skip to main content
SpringerLink
Log in

Case of a Girl with Lower Abdominal Pain

  • Chapter
Adolescent Gynecology

  • 928 Accesses

Abstract

The chapter aims to review differential diagnoses of an adolescent female with abdominal pain. It will examine risk factors in the adolescent to diagnose and treat different etiologies of abdominal and pelvic pain. Pregnancy, sexually transmitted infections, and long-term fertility preservation are vital components in these evaluations. Pelvic inflammatory disease is a clinical diagnosis of exclusion and requires a low threshold for treatment. CDC diagnostic and treatment guidelines in this population will be reviewed, as well as recommendations for follow-up. Providing comprehensive care including addressing issues of confidentiality and access to healthcare services will allow providers to impact long-term outcomes among youth.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. MMWR Recomm Rep. 2015;64(3):1–82.

    Google Scholar 

  2. Shulman LP, Nelson AL, Darney PD. Recent developments in hormone delivery systems. Am J Obset Gynecol. 2004;190(4 Suppl):S39–48.

    Article  CAS  Google Scholar 

  3. Moore SG, et al. Clinical utility of measuring white blood cells on vaginal wet mount and endocervical gram stain for the prediction of chlamydial and gonococcal infections. Sex Transm Dis. 2000;27(9):530–8.

    Article  CAS  Google Scholar 

  4. British Columbia Treatment Guidelines: Sexually Transmitted Infections in Adolescents and Adults (2014) Section 4.

    Google Scholar 

  5. Sweet RL. Treatment of acute pelvic inflammatory disease. Infect Dis Obstet Gynecol. 2011;2011:561909. https://doi.org/10.1155/2011/561909.

    Article  PubMed  PubMed Central  Google Scholar 

  6. The American College of Obstetricians and Gynecologists, Committee Opinion Number 539, October 2012, reaffirmed 2014.

    Google Scholar 

  7. Committee on Adolescence. Contraception for adolescents. Pediatrics. 2014. https://doi.org/10.1542/peds.2014-2299.

  8. Toivonen J, Luukkainen T, Allonen H. Protective effect of intrauterine release of levonorgestrel on pelvic infection: three years’ comparative experience of levonorgestrel- and copper-releasing intrauterine devices. Obstet Gynecol. 1991;77:261–4.

    Article  CAS  Google Scholar 

  9. Kaul P, Stevens-Simon C, Saproo A, Coupey SM. Trends in illness severity and length of stay in inner-city adolescents hospitalized for pelvic inflammatory disease. J Pediatr Adolesc Gynecol. 2008;21:289–93.

    Article  Google Scholar 

  10. Weström L, et al. Pelvic inflammatory disease and fertility. A cohort study of 1,844 women with laparoscopically verified disease and 657 control women with normal laparoscopic results. Sex Transm Dis. 1992;19(4):185–92.

    Article  Google Scholar 

  11. United States Census Bureau. Current Population Survey (CPS). Fertility; 2012.

    Google Scholar 

  12. Short V, et al. Clinical presentation of Mycoplasma genitalium infection versus Neisseria gonorrhoeae infection among women with pelvic inflammatory disease. Clin Infect Dis. 2009;48(1):41–7. https://doi.org/10.1086/594123.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Abu Raya B, et al. Beyond “safe sex”—can we fight adolescent pelvic inflammatory disease? Eur J Pediatr. 2013;172(5):581–90.

    Article  Google Scholar 

  14. Satterwhite CL, Torrone E, Meites E, et al. Sexually transmitted infections among US women and men: prevalence and incidence estimates, 2008. Sex Transm Dis. 2013;40:187–93.

    Article  Google Scholar 

  15. Burnett AM, Anderson CP, Zwank MD. Laboratory-confirmed gonorrhea and/or chlamydia rates in clinically diagnosed pelvic inflammatory disease and cervicitis. Am J Emerg Med. 2012;30:1114–7.

    Article  Google Scholar 

  16. Scholes D, Stergachis A, Heidrich FE, et al. Prevention of pelvic inflammatory disease by screening for cervical chlamydial infection. N Engl J Med. 1996;334:1362–6.

    Article  CAS  Google Scholar 

  17. Cohen CR, Manhart LE, Bukusi EA, et al. Association between Mycoplasma genitalium and acute endometritis. Lancet. 2002;359:765–6.

    Article  Google Scholar 

  18. Cohen CR, Mugo NR, Astete SG, et al. Detection of Mycoplasma genitalium in women with laparoscopically diagnosed acute salpingitis. Sex Transm Infect. 2005;81:463–6.

    Article  CAS  Google Scholar 

  19. Ross JD, Cronje HS, Paszkowski T, et al. Moxifloxacin versus ofloxacin plus metronidazole in uncomplicated pelvic inflammatory disease: results of a multicentre, double blind, randomised trial. Sex Transm Infect. 2006;82:446–51.

    Article  CAS  Google Scholar 

  20. Mena LA, Mroczkowski TF, Nsuami M, et al. A randomized comparison of azithromycin and doxycycline for the treatment of Mycoplasma genitalium-positive urethritis in men. Clin Infect Dis. 2009;48:1649–54.

    Article  CAS  Google Scholar 

  21. Schwebke JR, Rompalo A, Taylor S, et al. Re-evaluating the treatment of nongonococcal urethritis: emphasizing emerging pathogens—a randomized clinical trial. Clin Infect Dis. 2011;52:163–70.

    Article  CAS  Google Scholar 

  22. Warner L, et al. Condom use and risk of gonorrhea and Chlamydia: a systematic review of design and measurement factors assessed in epidemiologic studies. Sex Transm Dis. 2006;33(1):36–51.

    Article  Google Scholar 

ACOG committee opinion statements:

  1. Number 539, October 2012 Adolescents and Long-Acting Reversible Contraception: Implant Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices

    Google Scholar 

  2. Number 672, September 2016 Clinical Challenges Of Long-Acting Reversible Contraceptive Methods

    Google Scholar 

  3. Number 626, March 2015 The Transition from Pediatric to Adult Health Care: Preventative Care for Young Women Aged 18–26 Years

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Section of Adolescent Medicine, Department of Pediatrics, University of Colorado – School of Medicine, Children’s Hospital Colorado, Aurora, CO, USA

    Megan Jacobs M.D., F.A.A.P. & Paritosh Kaul M.D.

Authors
  1. Megan Jacobs M.D., F.A.A.P.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Paritosh Kaul M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Megan Jacobs M.D., F.A.A.P. .

Editor information

Editors and Affiliations

  1. Assistant Professor, Pediatrics, Program Director, Post-doctoral Fellowship in Adolescent Medicine, Division of Adolescent Medicine, Children’s Hospital at Montefiore, The Pediatric Hospital for Albert Einstein College of Medicine, Bronx, NY, USA

    Hina J. Talib M.D.

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Cite this chapter

Jacobs, M., Kaul, P. (2018). Case of a Girl with Lower Abdominal Pain. In: Talib, H.J. (eds) Adolescent Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-66978-6_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-66978-6_15

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-66977-9

  • Online ISBN: 978-3-319-66978-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation