Acute pelvic pain
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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 are usually the first line imaging modality.
Clinical presentation
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noncyclicnon cyclic pain - 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 aetiologies. The two are often differentiated by obtaining a preliminary beta-hCG level.
Non-obstetric aetiologies include:
- pelvic inflammatory disease
- ovarian torsion
- ruptured ovarian cyst
- hemorrhagic ovarian cyst
- degenerating fibroid
- endometriosis
- pelvic congestion syndrome
- adenomyosis
- non-gynaecologic causes
Obstetric aetiologies include:
-<li>noncyclic pain</li>- +<li>non cyclic pain</li>
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