Acute pelvic pain
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At the time the article was created Matt A. Morgan had no recorded disclosures.View Matt A. Morgan's current disclosures
At the time the article was last revised Jeremy Jones had no recorded disclosures.View Jeremy Jones's current disclosures
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.
- non-cyclical pain usually of more acute onset
- pain of <3 months duration
Patients also often present with nausea, vomiting, and leukocytosis.
The differential can be divided into non-obstetric and obstetric etiologies. The two are often differentiated by obtaining a preliminary beta-hCG level.
Non-obstetric etiologies include:
- pelvic inflammatory disease
- ovarian torsion
- ruptured ovarian cyst
- hemorrhagic ovarian cyst
- degenerating fibroid
- pelvic congestion syndrome
- non-gynecologic causes
Obstetric etiologies include: