| Emergency gynecologic imaging. | |
| | |
MedLine Citation:
|
PMID: 18853841 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Acute pelvic pain in the female patient can have myriad presentations and, depending on the diagnosis, profound consequences. In the pregnant patient with pelvic pain or bleeding, an ectopic pregnancy must be first excluded. Ultrasound is important in determining the size and location of the ectopic pregnancy, and presence of bleeding, which in turn helps guide treatment decisions. Subchorionic or subplacental bleeds in an intrauterine pregnancy may also present with vaginal bleeding with consequences dependent on gestational age and size of bleed. In the postpartum female suspected to have retained products of conception, sonographic findings may vary from a thickened endometrial stripe to an echogenic mass with associated marked vascularity, often mimicking an arterial-venous malformation. In the nonpregnant patient, early diagnosis and treatment of ovarian torsion can preserve ovarian function. Other causes of peritoneal irritation may also cause acute pelvic pain including a ruptured hemorrhagic cyst or ruptured endometrioma. When pelvic inflammatory disease is suspected, imaging is used to evaluate for serious associated complications including the presence of a tuboovarian abscess or peritonitis. While leiomyomas of the uterus are largely asymptomatic, a leiomyoma that undergoes necrosis, torsion or prolapse through the cervix may be associated with acute severe pain or bleeding. The imaging features of these and other important clinical entities in the female pelvis will be presented. |
| | |
Authors:
|
Aya Kamaya; Lewis Shin; Bertha Chen; Terry S Desser |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Seminars in ultrasound, CT, and MR Volume: 29 ISSN: 0887-2171 ISO Abbreviation: Semin. Ultrasound CT MR Publication Date: 2008 Oct |
Date Detail:
|
Created Date: 2008-10-15 Completed Date: 2009-01-14 Revised Date: 2009-01-27 |
Medline Journal Info:
|
Nlm Unique ID: 8504689 Medline TA: Semin Ultrasound CT MR Country: United States |
Other Details:
|
Languages: eng Pagination: 353-68 Citation Subset: IM |
Affiliation:
|
Department of Radiology, Stanford University Medical Center, Stanford, CA 94305, USA. kamaya@stanford.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Diagnosis, Differential Emergencies Female Genital Diseases, Female / complications, diagnosis* Humans Pelvic Pain / etiology Pelvis / ultrasonography* Pregnancy Pregnancy Complications / diagnosis* |
| Comments/Corrections | |
Erratum In:
|
Semin Ultrasound CT MR. 2008 Dec;29(6):491 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Computed tomography in the nontraumatic renal causes of acute flank pain.
Next Document: Nontraumatic emergencies of abdominal aorta.