Acute pelvic pain
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Citation:
Morgan M, Jones J, Hacking C, et al. Acute pelvic pain. Reference article, Radiopaedia.org (Accessed on 13 Dec 2024) https://doi.org/10.53347/rID-33306
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33306
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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
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At the time the article was last revised Jeremy Jones had no recorded disclosures.
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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-cyclical pain usually of more acute onset
- 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 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
- endometriosis
- pelvic congestion syndrome
- adenomyosis
- non-gynecologic causes
Obstetric etiologies include:
References
- 1. ACOG Practice Bulletin No. 51. Chronic pelvic pain. Obstet Gynecol. 2004;103 (3): 589-605. Pubmed citation
- 2. Amirbekian S, Hooley RJ. Ultrasound Evaluation of Pelvic Pain. Radiol. Clin. North Am. 2014;52 (6): 1215-1235. doi:10.1016/j.rcl.2014.07.008 - Pubmed citation
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