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Case 18 - A 14-Year-Old Adolescent with Cyclic Pelvic Pain and Amenorrhea
- By Geri D. Hewitt
Edited by Todd R. Jenkins, University of Alabama, Birmingham, Lisa Keder, Abimola Famuyide, Kimberly S. Gecsi, David Chelmow
Book:

Surgical Gynecology

Published online:

19 November 2021

Print publication:

02 December 2021, pp 49-51
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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.