Postoperative pelvic pain: An imaging approach.
Postoperative pelvic pain after gynecological surgery is a readily detected but unspecific sign of complication. Imaging as a complement to physical examination helps establish the etiological diagnosis. In the context of emergency surgery, vascular, urinary and digestive injuries constitute the most frequent intraoperative complications. During the follow-up of patients who had undergone pelvic surgery, imaging should be performed to detect recurrent disease, postoperative fibrosis, adhesions and more specific complications related to prosthetic material. Current guidelines recommend using pelvic ultrasonography as the first line imaging modality whereas the use of pelvic computed tomography and/or magnetic resonance imaging should be restricted to specific situations, depending on local availability of equipment and suspected disease.
Service d'imagerie de la femme, centre hospitalier de Valenciennes, avenue Désandrouin, 59300 Valenciennes, France. Electronic address: hedifarah3@gmail.com.
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Farah
Service d'imagerie de la femme, centre hospitalier de Valenciennes, avenue Désandrouin, 59300 Valenciennes, France.
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Laurent
Service de chirurgie gynécologique et mammaire, centre hospitalier de Valenciennes, avenue Désandrouin, 59300 Valenciennes, France.
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Phalippou
Service d'imagerie, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
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Bazot
Service de chirurgie gynécologique, université de Lille Nord-de-France, hôpital Jeanne-de-Flandre, CHRU de Lille, 59000 Lille, France.
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Giraudet
Service d'imagerie de la femme, centre hospitalier de Valenciennes, avenue Désandrouin, 59300 Valenciennes, France.
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Serb
Service d'imagerie de la femme, centre hospitalier de Valenciennes, avenue Désandrouin, 59300 Valenciennes, France.
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Poncelet
D000368:Aged; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D010149:Postoperative Pain / Q000175:diagnosis* / Q000209:etiology; D017699:Pelvic Pain / Q000175:diagnosis* / Q000209:etiology
MRI; Pain; Pelvis; Postoperative; Scan