{"paper_id":"6e2fa4ad-032c-4383-bab4-5db35ef09a25","body_text":"Key Points\nThe clinical presentation of abdominopelvic pain and gonadal pathologies is often nonspecific and therefore difficult to diagnose (limited evidence). Surgical emergencies such as ovarian torsion should be considered when a girl presents with acute abdominopelvic pain (limited to moderate evidence). In menstruating girls and adolescents, pregnancy (orthotopic or ectopic) should be considered as a cause of abdominopelvic discomfort/pain (limited evidence). The initial imaging modality of choice for evaluating the uterus and adnexa is ultrasound (US) (limited to moderate evidence). If US is nondiagnostic and the clinical picture remains uncertain, MRI is the preferred next imaging test. CT may also be considered in patients with acute symptoms (limited evidence). Other gynecological causes of abdominopelvic pain such as endometriosis and PID have a significant impact on societal health care costs (limited to moderate evidence). Various complications associated with tumors may lead to acute abdominopelvic pain (limited evidence).\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nCarrico CW, Fenton LZ, Taylor GA, DiFiore JW, Soprano JV. AJR Am J Roentgenol 1999;172:513–516.\nHollmann AS, Macdonald S. In Carty H (ed.): Emergency Pediatric Radiology. Berlin: Springer, 1999;217–232.\nKlein MD, Rabbani AB, Rood KD et al. J Pediatr Surg 2001;36:1375–1380.\nPuig S, Hörmann M, Rebhandl W, Felder-Puig R, Prokop M et al. Radiology 2003;226:101–104.\nStrouse PJ. Singapore Med J 2003;44:312–322.\nBailez MM. Semin Pediatr Surg 2007;16:278–287.\nRock JA, Schlaff WD. Fertil Steril 1985;43:681–692.\nBhatt S, Kocakoc E, Dogra VS. 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Acad Emerg Med 1998;5:951–960.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2011 Springer New York\nAbout this chapter\nCite this chapter\nPuig, S. (2011). 39 Imaging of Female Children and Adolescents with Abdominopelvic Pain Caused by Gynecological Pathologies. In: Medina, L., Blackmore, C., Applegate, K. (eds) Evidence-Based Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7777-9_39\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4419-7777-9_39\nPublished:\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4419-7776-2\nOnline ISBN: 978-1-4419-7777-9\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}