Acute pelvic pain

Acute pelvic pain is a common presenting symptom to the emergency department and radiologist. Pelvic ultrasound with transabdominal and endovaginal approaches is usually the first line imaging modality.

Clinical presentation

  • non-cyclic pain
  • pain of <3 months duration

Patients also often present with nausea, vomiting, and leukocytosis.

Differential diagnosis

The differential can be divided into non-obstetric and obstetric aetiologies. The two are often differentiated by obtaining a preliminary beta-hCG level.

Non-obstetric aetiologies include:

Obstetric aetiologies include:

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Article information

rID: 33306
System: Gynaecology
Section: Approach
Synonyms or Alternate Spellings:

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