Acute pelvic pain: Evaluation and management

Samraj, George P; Curry, R. B.

doi:10.1007/s12019-004-0015-1

Cited by 14 publications

(5 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Causative agents spread from the vagina to the cervix and uterine cavity, followed by the fallopian tubes and ovaries and even to the peritoneal cavity. Therefore, PID represents a spectrum of abnormalities encompassing cervicitis, endometritis, salpingitis, pyosalpinx and tubo-ovarian abscess (TOA) [36].…”

Section: Pelvic Inflammatory Diseasementioning

confidence: 99%

Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis—part II: uterine emergencies and pelvic inflammatory disease

et al. 2019

View full text Add to dashboard Cite

Due to the growing use of cross-sectional imaging in emergency departments, acute gynaecologic disorders are increasingly diagnosed on urgent multidetector computed tomography (CT) studies, often requested under alternative presumptive diagnoses in reproductive-age women. If clinical conditions and state-of-the-art scanner availability permit, magnetic resonance imaging (MRI) is superior to CT due to its more in-depth characterisationof abnormal or inconclusive gynaecological findings, owing to excellent soft-tissue contrast, intrinsic multiplanar capabilities and lack of ionising radiation.This pictorial review aims to provide radiologists with a thorough familiarity with gynaecologic emergencies by illustrating their CT and MRI appearances, in order to provide a timely and correct imaging diagnosis. Specifically, this second instalment reviews with examples and emphasis on differential diagnosis the main non-pregnancy-related uterine emergencies (including endometrial polyps, degenerated leiomyomas and uterine inversion) and the spectrum of pelvic inflammatory disease.

show abstract

Section: Pelvic Inflammatory Diseasementioning

confidence: 99%

Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis—part II: uterine emergencies and pelvic inflammatory disease

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The presence of distension of the abdomen along with pain needs urgent evaluation with special investigations. [ 1 ] Wide range of differential diagnoses should be considered for assessing such conditions as a ruptured appendix, endometriosis, ruptured hemorrhagic corpus luteum, or ruptured ectopic pregnancy. Early diagnosis is necessary to preserve the reproductive systems and the life of the patient in severe cases.…”

Section: Introductionmentioning

confidence: 99%

An unusual presentation of a corpus luteum rupture

Godhiwala

Agarwal

Acharya

et al. 2022

Gynecol Minim Invasive Ther

View full text Add to dashboard Cite

Rheumatic heart disease (RHD) is one of the most common cardiac conditions seen in India with mitral stenosis as the most prevalent cause affecting females more than males. With the increasing number of patients undergoing mitral valve replacement (MVR) and mandatory use of anticoagulants post-MVR, the patients presenting with drug-induced coagulopathy have increased. One of the rare complications of coagulopathy-related hemorrhage may be associated with a gynecological cause with maximum risk in women of reproductive age group. This chance of hemorrhage has increased due to various events that occur in reproductive organs, namely, ovulation, menstruation, trauma due to sexual intercourse, or pregnancy-related bleeding. Such bleeding is evident as external vaginal bleeding or hemoperitoneum. Hereby, we present a rare case of a 30-year-old woman, on anticoagulant therapy for MVR who presented with congestive cardiac failure associated with massive hemoperitoneum. On ultrasound-guided paracentesis, the cause of mild-to-moderate ascites was normal ovulatory bleed evident by the bleeding from the corpus luteal cyst.

show abstract

“…A clinical examination and laboratory testing are necessary when a gynecologic disease is suspected as the cause of acute pelvic discomfort. High-frequency endovaginal transducers offer a precise anatomic representation and pathologic characterization ( 3 ) . PID is a term used to describe a group of infections spread through sexual contact and affecting the female reproductive organs.…”

Section: Introductionmentioning

confidence: 99%

Sonographic findings of a gynecological cause of acute pelvic pain – a systematic review

Talat¹,

Murrium²,

Suleman³

et al. 2022

J Ultrason

View full text Add to dashboard Cite

Objective: The purpose of this study was to use ultrasonographic data to rule out and distinguish diseases that cause acute pelvic pain. Material and method: The literature was reviewed using a systematic search of the databases Google Scholars and PubMed, as well as through hand searching. We looked through a total of 35 articles, but only 26 were selected after preliminary screening. Furthermore, 14 articles were left out because they required a membership, copyright clearance, or featured non-English references. There were a total of 12 articles included in the final revuew. Among all the study-related articles, only original research studies and one systematic review that sonographically explored the gynecological etiology of acute pelvic pain were selected. Results: Acute pelvic pain in women might be difficult to identify between gynecologic and non-gynecologic causes based solely on patient history and examination. Advanced imaging, like ultrasound, aids in determining the reason. Pelvic inflammatory disease can be difficult to diagnose, and clinicians should use a low threshold for starting presumptive treatment in order to avoid significant long-term effects such as infertility. Conclusions: Pelvic pain can be acute, chronic or functional. Imaging investigations such as CT, ultrasonography, and MRI can assist in establishing a diagnosis. Particularly ultrasound scanning makes it possible to arrive at a diagnosis with a high degree of precision.

show abstract

Acute pelvic pain: Evaluation and management

Cited by 14 publications

References 36 publications

Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis—part II: uterine emergencies and pelvic inflammatory disease

Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis—part II: uterine emergencies and pelvic inflammatory disease

An unusual presentation of a corpus luteum rupture

Sonographic findings of a gynecological cause of acute pelvic pain – a systematic review

Contact Info

Product

Resources

About