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. 2019 Feb;59(2):126-132.
doi: 10.1007/s00117-018-0475-4.

[Acute Pelvic pain in women-gynecological causes]

[Article in German]
Stefan Hecht  1 , Matthias Meissnitzer  1 , Rosemarie Forstner  2
Affiliations

[Acute Pelvic pain in women-gynecological causes]

[Article in German]
Stefan Hecht et al. Radiologe. 2019 Feb.

Abstract

Background: Acute pelvic pain in women may be due to gynecological, gastrointestinal, and urinary tract disorders. Ectopic pregnancy (EP), pelvic inflammatory disease (PID), and ruptured ovarian cysts are the most common gynecological causes for acute pelvic pain and their diagnosis can be challenging.

Methods: Patient history, clinical examination, and blood tests as well as patient age and potential pregnancy status help to establish the correct diagnosis. While sonography (US) remains the primary imaging modality of choice, computed tomography (CT) plays an important role in patients with indeterminate US evaluation and for treatment planning.

Conclusion: Diagnostic imaging is pivotal to differentiate potentially life- and fertility-threatening conditions from those that can be treated conservatively. Profound knowledge of the most common gynecological pathologies allows prompt and correct radiological diagnosis and assists in proper treatment planning.

Keywords: Acute pelvic pain; Ectopic pregnancy; Ovarian cyst; Ovarian torsion; Pelvic inflammatory disease.

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