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Gynecologic causes of acute pelvic pain in the adolescent female*

Gynecologic causes of acute pelvic pain in the adolescent female*
Life- or organ-threatening
Ectopic pregnancy
Acute abruption
Uterine rupture
Ovarian torsion
Common
Dysmenorrhea
Mittelschmerz
Pelvic inflammatory disease
Ruptured ovarian cyst
Other
Pregnancy
Spontaneous abortion
Developmental anomalies of the Müllerian duct
Endometriosis
Ovarian tumor
Vaginal foreign body
Chemical irritant
Sexual assault (sexual abuse)
Somatization
* Refer to UpToDate topics on causes of abdominal pain in children for a discussion of gastrointestinal and urologic causes of pelvic pain in the adolescent female.
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