Halil İbrahim YAKUT, Sabri CAVKAYTAR

ADOLESAN KIZLARDA PELVİK AĞRI

Pelvik ağrı, adolesan kız ve çocuklarda en sık doktora başvurma nedenlerinden biridir. Pelvik ağrının birçok nedeni olmasına rağmen, ayrıntılı anamnez ve fizik muayene ile birçok neden ekarte edilebilir. Pelvik ağrı, akut-kronik veya jinekolojik-non jinekolojik olarak sınıflandırılabilir. Jinekolojik nedenler arasında dış gebelik rüptürü, over torsiyonu, endometriozis, pelvik inflamatuar hastalık ve over tümörleri morbidite ve mortalite açısından diğer nedenlerden daha önemlidir. Non-jinekolojik nedenlerden de apandisit, konstipasyon, irritabl bağırsak sendromu ve üriner enfeksiyonlar ilk akla gelmesi gereken nedenlerdir. Pelvik ağrı nedenleri hayatı tehdit edebileceği gibi, hayatın ileri dönemlerinde çeşitli sağlık ve sosyal problemler yaratabileceği için gerekli tanı ve tedaviler zamanında yapılmalıdır.

Anahtar Kelimeler:

Adolesan, pelvik ağrı

PELVIC PAIN IN FEMALE ADOLESCENTS

Pelvic pain is one of the most common complaints among female adolescent and children who apply to doctors. Although it has many reasons, thorough history and physical examination exclude many reasons of pelvic pain. Pelvic pain can be classified as acute-chronic or gynecologic-non gynecologic. Among the gynecologic causes of pelvic pain, ectopic pregnancy ,ovarian torsion, endometriosis ,pelvic inflammatory disease and ovarian tumours are more important than the other causes in case of morbidity and mortality. Appendicitis, constipation, irritable bowel syndrome and urinary tract infections are the most common non-gynecologic pelvic pain reasons. As a result, precise diagnosis and management of pelvic pain must be done in time since it might be life threatining and result in health and social problems future in life.

Keywords:

Adolescent, pelvic pain,

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