{"paper_id":"3853dc53-de71-48ea-8b7f-3c85c7ab3c8d","body_text":"Abstract\nPelvic pain is one of the most common causes for presentation to the emergency department. A variety of gynecological processes may be the etiology for pelvic pain; hemorrhagic ovarian cysts, pelvic inflammatory disease, ovarian torsion, endometriosis, cystitis, ovarian vein thrombosis, and ovarian hyperstimulation syndrome are a few of the most commonly encountered pathologies. Before medical imaging is performed for evaluation of pelvic pain, it is important to obtain relevant clinical history and review available laboratory information. The patient’s age and pregnancy status are of particular importance in the differential diagnosis; therefore, serum beta-hCG laboratory evaluation is performed if there is even a remote possibility of pregnancy.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nLevine D, Brown DL, Andreotti RF, et al. Management of asymptomatic ovarian and other adnexal cysts imaged at US Society of Radiologists in Ultrasound consensus conference statement. Ultrasound Q. 2010;26(3):121–31.\nBottomley C, Bourne T. Diagnosis and management of ovarian cyst accidents. Best Pract Res Clin Obstet Gynaecol. 2009;23(5):711–24.\nTamai K, Koyama T, Saga T, et al. MR features of physiologic and benign conditions of the ovary. Eur Radiol. 2006;16(12):2700–11.\nHorrow MM. Ultrasound of pelvic inflammatory disease. Ultrasound Q. 2004;20(4):171–9.\nTimor-Tritsch IE, Lerner JP, Monteagudo A, Murphy KE, Heller DS. Transvaginal sonographic markers of tubal inflammatory disease. Ultrasound Obstet Gynecol. 1998;12(1):56–66.\nLambert MJ, Villa M. Gynecologic ultrasound in emergency medicine. Emerg Med Clin North Am. 2004;22(3):683–96.\nSam JW, Jacobs JE, Birnbaum BA. Spectrum of CT findings in acute pyogenic pelvic inflammatory disease. Radiographics. 2002;22(6):1327–34.\nKim SH, Kim SH, Yang DM, Kim KA. Unusual causes of tubo-ovarian abscess: CT and MR imaging findings. Radiographics. 2004;24(6):1575–89.\nSingh AK, Desai H, Novelline RA. Emergency MRI of acute pelvic pain: MR protocol with no oral contrast. Emerg Radiol. 2009;16(2):133–41.\nKilickesmez O, Tasdelen N, Yetimoglu B, et al. Diffusion-weighted imaging of adnexal torsion. Emerg Radiol. 2009;16(5):399–401.\nWoodward PJ, Sohaey R, Mezzetti Jr TP. Endometriosis: radiologic-pathologic correlation. Radiographics. 2001;21(1):193–216; questionnaire 288–94.\nChamie LP, Blasbalg R, Pereira RMA, Warmbrand G, Serafini PC. Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 2011;31(4):E77–100.\nMarcal L, Nothaft MA, Coelho F, Choi H. Deep pelvic endometriosis: MR imaging. Abdom Imaging. 2010;35(6):708–15.\nBennett GL, Slywotzky CM, Cantera M, Hecht EM. Unusual manifestations and complications of endometriosis – spectrum of imaging findings: pictorial review. AJR Am J Roentgenol. 2010;194(6 Suppl):WS34–46.\nChang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 2008;28(5):1355–68.\nChiou S-Y, Lev-Toaff AS, Masuda E, Feld RI, Bergin D. Adnexal torsion: new clinical and imaging observations by sonography, computed tomography, and magnetic resonance imaging. J Ultrasound Med. 2007;26(10):1289–301.\nGalinier P, Carfagna L, Delsol M, et al. Ovarian torsion. Management and ovarian prognosis: a report of 45 cases. J Pediatr Surg. 2009;44(9):1759–65.\nHiller N, Appelbaum L, Simanovsky N, et al. CT features of adnexal torsion. AJR Am J Roentgenol. 2007;189(1):124–9.\nPatel MD, Dubinsky TJ. Reimaging the female pelvis with ultrasound after CT. Ultrasound Q. 2007;23(3):177–87.\nVijayaraghavan SB. Sonographic whirlpool sign in ovarian torsion. J Ultrasound Med. 2004;23(12):1643–9; quiz 1650–1.\nRha SE, Byun JY, Jung SE, et al. CT and MR imaging features of adnexal torsion. Radiographics. 2002;22(2):283–94.\nJohansen TEB. The role of imaging in urinary tract infections. World J Urol. 2004;22(5):392–8.\nBlatt AH, Titus J, Chan L. Ultrasound measurement of bladder wall thickness in the assessment of voiding dysfunction. J Urol. 2008;179(6):2275–8; discussion 2278–9.\nChang C-B, Chang C-C. Emphysematous cystitis: a rare cause of gross hematuria. J Emerg Med. 2011;40(5):506–8.\nBennett GL, Slywotzky CM, Giovanniello G. Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics. 2002;22(4):785–801.\nWilde S, Scott-Barrett S. Radiological appearances of uterine fibroids. Indian J Radiol Imaging. 2009;19:222–31.\nDykes T, Siegel C, Dodson W. Imaging of congenital uterine anomalies: review and self-assessment module. AJR Am J Roentgenol. 2007;189(3):S1–10.\nKim TH, Lee HH, Chung SH. Presenting features of pyometra including an increase in iatrogenic causes. J Low Genit Tract Dis. 2011;15(4):316–7.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2013 Springer Science+Business Media New York\nAbout this chapter\nCite this chapter\nMalcom, C., Khicha, A., Singh, A. (2013). Imaging of Acute Gynecologic Disorders. In: Singh, A. (eds) Emergency Radiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9592-6_13\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4419-9592-6_13\nPublished:\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4419-9591-9\nOnline ISBN: 978-1-4419-9592-6\neBook Packages: MedicineMedicine (R0)\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}