Imaging of acute pelvic pain

Clin Obstet Gynecol. 2009 Mar;52(1):2-20. doi: 10.1097/GRF.0b013e3181958173.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Appendicitis / complications
  • Appendicitis / diagnosis
  • Appendicitis / diagnostic imaging
  • Diagnosis, Differential
  • Endometriosis / complications
  • Endometriosis / diagnosis
  • Endometriosis / diagnostic imaging
  • Female
  • Humans
  • Leiomyoma / complications
  • Leiomyoma / diagnosis
  • Leiomyoma / diagnostic imaging
  • Ovarian Cysts / complications
  • Ovarian Cysts / diagnosis*
  • Ovarian Cysts / diagnostic imaging
  • Ovarian Diseases / complications
  • Ovarian Diseases / diagnosis
  • Ovarian Diseases / diagnostic imaging
  • Pelvic Inflammatory Disease / complications
  • Pelvic Inflammatory Disease / diagnosis*
  • Pelvic Inflammatory Disease / diagnostic imaging
  • Pelvic Pain / diagnosis*
  • Pelvic Pain / diagnostic imaging*
  • Pelvic Pain / etiology
  • Pregnancy
  • Pregnancy, Ectopic / diagnosis*
  • Pregnancy, Ectopic / diagnostic imaging
  • Torsion Abnormality / complications
  • Torsion Abnormality / diagnosis
  • Torsion Abnormality / diagnostic imaging
  • Ultrasonography