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A 23-year Old Female Complains Of Severe Left Lower Abdominal/

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Posted on Wed, 21 Nov 2018
Question: A 23-year old female complains of severe left lower abdominal/pelvic pain for 6 hours. States her last menstrual period was “about 3 or 4 weeks ago”. She is sexually active and denies using any contraceptive method.
What would be the working diagnosis in this case?
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Answered by Dr. Olgeta Xhufka (2 hours later)
Brief Answer:
Firstly I suspect an ectopic pregnancy.

Detailed Answer:
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.

Referring to symptoms I think there is a good possibility of having an extrauterine pregnancy (knowing that is sexually active and without contraception). This needs to get diagnosed with an ultrasound abdomen and Beta-HCG examinations.

Also, an ovarian cyst rupture is possible or pelvic inflammatory disease if she is known to have any left ovarian cyst.

Another cause of this sharp acute pain may be due to ureteric stones which are usually accompanied by blood In urine.

Another cause may be diverticulitis

Hope I have answered the question.
Let me know if I can assist you further.

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10113 Questions

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A 23-year Old Female Complains Of Severe Left Lower Abdominal/

Brief Answer: Firstly I suspect an ectopic pregnancy. Detailed Answer: Hello dear, welcome to Ask a doctor service. I read your query and here is my advice. Referring to symptoms I think there is a good possibility of having an extrauterine pregnancy (knowing that is sexually active and without contraception). This needs to get diagnosed with an ultrasound abdomen and Beta-HCG examinations. Also, an ovarian cyst rupture is possible or pelvic inflammatory disease if she is known to have any left ovarian cyst. Another cause of this sharp acute pain may be due to ureteric stones which are usually accompanied by blood In urine. Another cause may be diverticulitis Hope I have answered the question. Let me know if I can assist you further.