Role of Different Imaging Modalities in Assessment of Gynecological Causes of Acute Pelvic Pain

Articles in Press

Document Type : Original Article

Authors

1 Assistant Professor of Radiology, Faculty of Medicine, Benha University

2 Lecturer of Radiology, Faculty of Medicine, Benha University

3 (M.B.B.Ch, Faculty of Medicine, AL-Azhar University)

Abstract

Background: Acute pelvic pain refers to non-cyclic lower abdominal or pelvic pain lasting less than 3 months and is often associated with nausea, vomiting and / or leukocytosis. This study aimed to evaluate the role of different imaging modalities in the evaluation of gynecological causes of pelvic pain. Methods: This interventional study carried out on 73 female patients complaining of acute pelvic pain due to gynecological causes. All studied cases were subjected to clinical examination [Abdominal examination, pelvic examination, additional systemic examination]. Laboratory investigations [pregnancy testing [ β-HCG], additional tests (CA125)]. Imaging modalities [Ultrasound (US), Computed Tomography (CT) or Magnetic Resonance Imaging (MRI). Results: Ultrasound results showed high positive prediction in most findings and high negative prediction value in all findings. There were high agreement in the following findings: Complicated uterine fibroid, Ectopic Pregnancy, Hemorrhagic Ectopic pregnancy, Hemorrhagic Ovarian Cyst, Tubo-Ovarian Abscess and Uterine Rupture. Moderate agreement shown in Endometriotic cysts. Conclusion: Ultrasound emerged as a primary imaging tool due to its non-invasiveness and cost-effectiveness, enabling the identification of various pathologies. CT and MRI provided additional insights in cases where ultrasound findings were inconclusive, facilitating detailed characterization of pelvic diseases.

Keywords

Benha Medical Journal

Articles in Press, Accepted Manuscript
Available Online from 01 February 2025

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