Differential Diagnosis for Right Sided Pelvic Pain 5 Weeks Postpartum
- Single Most Likely Diagnosis
- Endometritis: This is an infection of the uterus that can occur after childbirth. It's a common cause of pelvic pain postpartum, especially if the patient had a cesarean section or prolonged labor. The pain can be localized to one side if the infection is more pronounced on that side.
- Other Likely Diagnoses
- Ovarian cyst or torsion: Ovarian cysts can rupture or torsion can occur, leading to severe pelvic pain. These conditions are more common in the postpartum period due to hormonal changes.
- Urinary tract infection (UTI): UTIs are common in the postpartum period and can cause pelvic pain, especially if the infection has ascended to the kidneys.
- Constipation: Postpartum constipation is common and can cause significant pelvic discomfort or pain.
- Do Not Miss Diagnoses
- Pulmonary embolism: Although less common, pulmonary embolism can present with pelvic pain if the embolism is large and causes referred pain. This is a life-threatening condition that requires immediate attention.
- Appendicitis: Appendicitis can present with right-sided pelvic pain and is a surgical emergency. It's crucial not to miss this diagnosis, as delayed treatment can lead to perforation and peritonitis.
- Ectopic pregnancy: Although rare at 5 weeks postpartum, an ectopic pregnancy can occur if the patient has become pregnant again. This is a life-threatening condition that requires immediate medical attention.
- Rare Diagnoses
- Ureteral obstruction or stone: A ureteral stone can cause severe pain, but it's less common in the postpartum period.
- Adhesions or bowel obstruction: These can cause pelvic pain but are less common causes of right-sided pelvic pain postpartum.
- Inflammatory bowel disease (IBD) flare: If the patient has a history of IBD, a flare can cause pelvic pain, but this would be less common as a new diagnosis postpartum.