Sonographic findings of a gynecological cause of acute pelvic pain – a systematic review

Hafsa Talat, Syeda Khadija Tul-Sughra Murrium, Taiba Suleman, Easha Tallat, Fatima Naveed, Syed Joun Hussain Shah, Gull E Hina Zulfiqar
In: Journal of Ultrasonography · 2022 · vol. 22(90) , pp. 183–190 · doi:10.15557/jou.2022.0030 · PMID:36482928 · W4285397064
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This systematic review of 12 articles analyzed sonographic findings to differentiate gynecological causes of acute pelvic pain, highlighting ultrasound's precision in diagnosis.

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This systematic review evaluated ultrasonographic findings reported in the literature to help distinguish gynecologic from non-gynecologic causes of acute pelvic pain in women. Using a search of PubMed and Google Scholar plus hand searching, the authors screened 35 articles, excluded 14 for access/language issues, and included 12 studies (original research and one additional systematic review) that used sonography to explore gynecologic etiologies. The review found that history and physical examination alone may not reliably identify the cause of acute pelvic pain, whereas imaging—particularly ultrasound—can improve diagnostic precision, with pelvic inflammatory disease noted as difficult to diagnose. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Objective: The purpose of this study was to use ultrasonographic data to rule out and distinguish diseases that cause acute pelvic pain. Material and method: The literature was reviewed using a systematic search of the databases Google Scholars and PubMed, as well as through hand searching. We looked through a total of 35 articles, but only 26 were selected after preliminary screening. Furthermore, 14 articles were left out because they required a membership, copyright clearance, or featured non-English references. There were a total of 12 articles included in the final revuew. Among all the study-related articles, only original research studies and one systematic review that sonographically explored the gynecological etiology of acute pelvic pain were selected. Results: Acute pelvic pain in women might be difficult to identify between gynecologic and non-gynecologic causes based solely on patient history and examination. Advanced imaging, like ultrasound, aids in determining the reason. Pelvic inflammatory disease can be difficult to diagnose, and clinicians should use a low threshold for starting presumptive treatment in order to avoid significant long-term effects such as infertility. Conclusions: Pelvic pain can be acute, chronic or functional. Imaging investigations such as CT, ultrasonography, and MRI can assist in establishing a diagnosis. Particularly ultrasound scanning makes it possible to arrive at a diagnosis with a high degree of precision.
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Sonographic findings of a gynecological cause of acute pelvic pain – a systematic review Hafsa Talat1, Syeda Khadija Tul-Sughra Murrium1, Taiba Suleman1, Easha Tallat2, Fatima Naveed1, Syed Joun Hussain Shah1, Gull E Hina Zulfiqar1 Objective: The purpose of this study was to use ultrasonographic data to rule out and distinguish diseases that cause acute pelvic pain. Material and method: The literature was reviewed using a systematic search of the databases Google Scholars and PubMed, as well as through hand searching. We looked through a total of 35 articles, but only 26 were selected after preliminary screening. Furthermore, 14 articles were left out because they required a membership, copyright clearance, or featured non-English references. There were a total of 12 articles included in the final revuew. Among all the study-related articles, only original research studies and one systematic review that sonographically explored the gynecological etiology of acute pelvic pain were selected. Results: Acute pelvic pain in women might be difficult to identify between gynecologic and non-gynecologic causes based solely on patient history and examination. Advanced imaging, like ultrasound, aids in determining the reason. Pelvic inflammatory disease can be difficult to diagnose, and clinicians should use a low threshold for starting presumptive treatment in order to avoid significant long-term effects such as infertility. Conclusions: Pelvic pain can be acute, chronic or functional. Imaging investigations such as CT, ultrasonography, and MRI can assist in establishing a diagnosis. Particularly ultrasound scanning makes it possible to arrive at a diagnosis with a high degree of precision.

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