A Little Known Topic 'Idiopathic Chronic Pelvic Pain': A Case Report

Öz

Chronic pelvic pain (CPP) is one of the most important health problems affecting women of reproductive age. There may be difficulties in the differential diagnosis of CPP, which may arise from many systems such as gynecological, urological, neurological, gastrointestinal and musculoskeletal systems. Medically unexplained idiopathic chronic pelvic pain (ICPP) may occur due to psychological reasons. Although it is quite common, information about the etiology, clinical appearance, course and treatment approach of ICPP is limited. In this study, a 43-year-old female patient who presented with depressive complaints and was followed up with a diagnosis of ICPA was presented in the light of literature findings. It is noteworthy that the patient has frequent hospital admissions with ICPA complaints.It is important for clinicians to be sensitive about the psychiatric aspect of medically unexplained ICPA.

Anahtar Kelimeler

• Diagnosis,
• treatment
• idiopathic Chronic pelvic pain

Az Bilinen Bir Konu ‘İdiyopatik Kronik Pelvik Ağrı’: Bir Olgu Sunumu

Öz

Kronik pelvik ağrı (KPA) özellikle üreme çağındaki kadınları etkileyen önemli sağlık sorunlarından biridir. Jinekolojik, ürolojik, nörolojik, gastrointestinal, kas-iskelet sistemi gibi çok sayıda sistemden kaynaklanabilen KPA’nın ayırıcı tanısında güçlükler yaşanabilir. Tıbben açıklanamayan idiyopatik kronik pelvik ağrı (İKPA) psikolojik nedenlere bağlı ortaya çıkabilir. Oldukça sık rastlanmasına rağmen İKPA’nın etiyolojisi, klinik görünümü, seyri ve tedavi yaklaşımı ile ilgili bilgiler kısıtlıdır. Bu çalışmada depresif yakınmalarla başvuran ve İKPA tanısı ile izlenen 43 yaşındaki kadın olgu literatür bulguları ışığında sunulmuştur. Hastanın İKPA yakınmaları ile sık sık hastane başvurularının olması dikkat çekicidir. Klinisyenlerin tıbben açıklanmayan İKPA’nın psikiyatrik yönü konusunda duyarlı olmaları önemlidir.

Anahtar Kelimeler

• Tanı
• Tedavi
• idiopatik kronik pelvik ağrı

Kaynakça

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