Imaging of Acute Pelvic Pain: Pregnant (Ectopic and First-trimester Viability Updated)

Kyle K Jensen; Mehtab Sal; Roya Sohaey

doi:10.1016/j.rcl.2019.11.003

Imaging of Acute Pelvic Pain: Pregnant (Ectopic and First-trimester Viability Updated)

Radiol Clin North Am. 2020 Mar;58(2):347-361. doi: 10.1016/j.rcl.2019.11.003.

Authors

Kyle K Jensen¹, Mehtab Sal², Roya Sohaey²

Affiliations

¹ Department of Diagnostic Radiology, Oregon Health & Science University, L340, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA. Electronic address: jensenky@ohsu.edu.
² Department of Diagnostic Radiology, Oregon Health & Science University, L340, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA.

PMID: 32044011
DOI: 10.1016/j.rcl.2019.11.003

Abstract

Pelvic pain in the first trimester is nonspecific, with causes including pregnancy complications, pregnancy loss, and abnormal implantation, and symptom severity ranges from mild to catastrophic. Ultrasonography is the imaging modality of choice and essential to evaluate for the location of pregnancy, either intrauterine or not. If there is an intrauterine pregnancy, ultrasonography helps assess viability. If there is not an intrauterine pregnancy, ultrasonography helps assess for abnormal implantation, which accounts for a high percentage of maternal morbidity and mortality.

Keywords: Early pregnancy loss; Ectopic pregnancy; First trimester; Intrauterine pregnancy; Pregnancy; Pregnancy failure; Ultrasonography; Viability.

Publication types

Review

MeSH terms

Acute Pain / diagnostic imaging*
Diagnosis, Differential
Female
Humans
Pelvic Pain / diagnostic imaging*
Pregnancy
Pregnancy Complications / diagnostic imaging*
Pregnancy Trimester, First*
Pregnancy, Ectopic / diagnostic imaging*
Ultrasonography, Prenatal / methods*