Chronic Pelvic Pain in Women: A Retrospective Analysis at a Tertiary Care Centre in Bihar

Introduction: Chronic pelvic pain (CPP) is common amongwomen of reproductive age group. Prevalence of chronicpelvic pain vary widely depending on the definition usedand range from 2% to 27% of adult females worldwide.Theobjective of this study was to know the ‘period prevalence ‘ ofCPP from December 15th 2018 to May 15 th 2019 along with asecondary aim to identify the associated risk factors.Material and methods: The retrospective study was carriedout in the department of Obstetrics and Gynaecology,at atertiary care teaching hospital. The study period was for sixmonths (Dec ’18-May’19).Results: The prevalence of chronic pelvic pain was 25%(n=1413) in women > 18 years with a maximum prevalenceof 34% (n=484) in women of 30-39 years age group. Thirtyseven percent(n=530) were associated with irritable bowelsyndrome; Psychosocial factors were seen in 35% cases;31%(n=438) suffered from constipation; 30% had associatedurinary symptoms; 0.2% (n=4) had varicose veins in innerthigh and vulval region, 9% (n=127) had chronic PID.3% hadsuspected nerve entrapment and another 3% had adhesions.Eight percent had pain related to musuloskeletal system.6%(n= 84) with no other associated symptom had usg finding ofendometriosis.Conclusion: The prevalence appears to be high (25%) in ourpart of the country. Owing to its multifactorial aetiology, thegynaecologists should develop the habit of looking beyond theuterus.

FCPD: An unusual cause of abdominal pain; reminder of important clinical lesson

Fibrocalculous pancreatic diabetes (FCPD) is a type of chronic calcific non-alcoholic pancreatitis. This type is reported mostly in the developing tropical and subtropical countries. Definite diagnosis of FCPD requires younger age of onset, history of malnutrition, and presence of diabetes mellitus along with extensive pancreatic calcification and ductal calculi. Pain abdomen is one of the classical clinical triad of the disease with steatorrhoea and diabetes. In this case report we are presenting a case of 17 years old girl with past history of recurrent pain abdomen for last two years. She came to casualty with complaints of generalized weakness along with pain abdomen. She was diagnosed as case of FCPD with uncontrolled hyperglycemia on subsequent investigations. Importance of this case is that patient has multiple episode of abdominal pain over two years and she consulted several practitioners for the same and she was treated symptomatically without proper work-up. However, FCPD is a rare entity but should be considered in case of recurrent abdominal pain in young patient.