Abstract:

Severe post-menopausal abdominal pain is commonly seen in advanced endometrial cancer, ovarian cancer and cervical cancer, but rare in malignant transformation of adenomyosis, endometriotic cysts, gastrointestinal stromal tumors (GIST), and endometrial tuberculosis. The gold standard for the diagnosis of almost all of the above-mentioned diseases is pathological examination, and imaging examination can serve as a reference and auxiliary diagnosis. When patients do not have typical clinical symptoms or B-ultrasonography and magnetic resonance imaging do not have typical imaging features, the imaging findings may influence the doctor′s diagnosis and delay treatment. A adenomyosis patient presented with post-menopausal abdominal pain without typical clinical manifestations such as endometrial thickening, hydrops of uterus and vaginal bleeding, the clinical data of the patient with stage ⅢC endometrial serous carcinoma diagnosed after operation were analysed, and the related literatures about post-menopausal abdominal pain related diseases were reviewed, and the diagnostic strategies of the patients with recurrent abdominal pain after menopause were discussed, in order to prevent misdiagnosis and mistreatment.

Key words: Postmenopause, Abdominal pain, Rare diseases, Diagnosis, Diagnosis, differential, Case reports