Imaging of acute pelvic pain.
Determining the cause of acute pelvic pain in the female patient is often a clinical challenge. Diagnostic imaging can be invaluable in this situation. Ectopic pregnancy, pelvic inflammatory disease, and hemorrhagic ovarian cysts are the most commonly diagnosed gynecologic conditions presenting with acute pelvic pain. Ovarian torsion and degenerating fibroids occur less frequently. Other causes to consider include endometriosis, and postpartum causes such as endometritis, or ovarian vein thrombosis. Finally, nongynecologic conditions may overlap in their presentation of acute pelvic pain and should also be considered. The most important of these is acute appendicitis.
Vandermeer
Fauzia Q
FQ
Department of Diagnostic Radiology, University of Maryland School of Medicine, Baltimore, Maryland, USA. fvandermeer@umm.edu
Wong-You-Cheong
Jade J
JJ
D001064:Appendicitis / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D010048:Ovarian Cysts / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D010049:Ovarian Diseases / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D000292:Pelvic Inflammatory Disease / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D017699:Pelvic Pain / Q000175:diagnosis* / Q000000981:diagnostic imaging* / Q000209:etiology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D014463:Ultrasonography