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Acute pelvic pain in women represents a common yet complex clinical challenge, encompassing a broad spectrum of possible gynecologic and non-gynecologic causes. For non-pregnant women, frequent gynecological sources include pelvic inflammatory disease (PID), ruptured ovarian cysts, ovarian torsion, and the degeneration or torsion of uterine leiomyomas. In contrast, pregnant patients more commonly experience acute pelvic pain due to spontaneous abortion, ectopic pregnancy, and placental disorders.
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