Sonographic Evaluation of Acute Pelvic Pain

Gupta, Kamal Kumar; Gauba, Neelam; Singh, Arvinder; Chander, Ramesh; Kumar, Vikas

doi:10.14260/jemds/2016/679

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Upon data analysis, the most common sonographic findings causing pelvic pain were intramural uterine fibroids (12%), and hemorrhagic ovarian cysts (10%). This is correlated with the study conducted by Kamlesh Gupta et al in 2015 which showed that in adnexal pathologies causing pelvic pain hemorrhagic ovarian cysts are more common comprising 50 % pathologies of acute pelvic pain 9 . This is also correlated well with the past study conducted in 2002 which showed that hemorrhagic ovarian cyst and salpingitis are more commonly diagnosed adnexal pathologies in patients with pelvic pain [8] .…”

Section: Discussionsupporting

confidence: 88%

Sonographic Evaluation of Pelvic Pain in Gravid and Non-Gravid Uterus

Rashad¹,

Khadija²,

Farooq³

2022

PJMHS

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Aim: To evaluate sonographically pelvic pain and contribution of pelvic ultrasound in diagnosing pelvic pathologies in females with gravid and non-gravid uterus. Study Design: Cross-sectional analytical study Place and Duration: Sami Diagnostic and Waraich Ultrasound center Jauharabad (Khushab). Duration of study was 9 months. Methodology: Convenient sampling technique was used and 100 patients were enrolled. Toshiba Xario and Hitachi Aloka ultrasound machines were used. Study included females with gravid uterus, nongravid uterus, and those with pelvic pain present and also with absent pain. It excluded females with non-gynecological complaints. Both transabdominal and transvaginal ultrasound modalities were used. Longitudinal, transverse and oblique views were taken. Based on sonographic findings, diagnosis was made and image recorded. SPSS version 22.0 was used for data analysis. Results: In patients with gravid uterus pelvic pain was present in 23 (67.6%) and absent in 11 patients (32.4%). In non-gravid uterus pelvic pain was present in 64 (97.0%) and absent in 2 (3.0%). Most common finding was Intramural uterine fibroid (12%) with pain present in 8 and absent in 4 patients followed by hemorrhagic ovarian cyst HOC (10%) with pelvic pain present in 9 and absent in 1, simple ovarian cysts (7%) caused pelvic pain in 7 patients and in subserosal fibroid (6%) pelvic pain was present in 4 patients and absent in 2 patients. 10% females were presented with pelvic pain but showed normal ultrasound findings. Conclusion: Ultrasound is modality of choice to determine the pelvic pathologies in females. Pelvic pain was present more in non-gravid females. Most incident etiology causing pelvic pain was intramural fibroids. Age factor is one of the most effecting factors for the pelvic pain in gravid uterus. Keywords: Ultrasound, Pelvic pain, Fibroids, Hemorrhagic ovarian cyst, Ovarian cyst

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Section: Discussionsupporting

confidence: 88%

Sonographic Evaluation of Pelvic Pain in Gravid and Non-Gravid Uterus

Rashad¹,

Khadija²,

Farooq³

2022

PJMHS

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“…Ultrasound is the most often used imaging modality for evaluating PID. Healthy women can have fluid both in the endometrium and the cul-de-sac, but individuals with pelvic inflammatory illness may have little or no free fluid ( 14 ) , as illustrated in Fig. 2 .…”

Section: Discussionmentioning

confidence: 99%

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

Talat¹,

Murrium²,

Suleman³

et al. 2022

J Ultrason

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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.

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Sonographic Evaluation of Acute Pelvic Pain

Abstract: BACKGROUNDAcute pelvic pain can result from the gastrointestinal, gynaecological and/or urological systems. Ultrasound can be used as an initial imaging modality in the evaluation of acute pelvic pain.

Cited by 2 publications

References 26 publications

Sonographic Evaluation of Pelvic Pain in Gravid and Non-Gravid Uterus

Sonographic Evaluation of Pelvic Pain in Gravid and Non-Gravid Uterus

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

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