PELVIC MASSES

Do simple screening by history and physical examination for any lower abdominal swellings

Differential diagnoses

  • Normal pregnancy
  • Distended urinary bladder
  • Uterine fibroids
  • Pelvic abscess
  • Tubal-ovarian mass
  • Ovarian cyst.

NORMAL PREGNANCY

Is easy to diagnose from menstrual history, clinical signs, and ultrasound if available

DISTENDED URINARY BLADDER

Acute retention of urine is the commonest. It is commonly associated with acute urinary tract infection in young girls and may be associated with other pelvic tumours in older women. Catheterization, urine examination (urinalysis,
microscopy, culture, and sensitivity), and appropriate antibiotic based on culture will suffice in urinary tract infection (UTI).