Ultrasound Assessment of Acute Female Pelvic Pain of Ovarian Origin: Pictorial Essay and Brief Review

César Hayashi-Mercado
In: International Journal Of Medical Science And Clinical Research Studies · 2022 · vol. 02(08) · doi:10.47191/ijmscrs/v2-i8-15 · W4292824487
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This pictorial essay reviews the ultrasound findings of common ovarian pathologies causing acute pelvic pain in women of reproductive age.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This pictorial essay and brief review focuses on how ultrasound is used as the initial imaging modality for acute female pelvic pain of ovarian origin, describing ultrasound findings for major ovarian pathologies responsible for emergency admissions. It synthesizes key imaging patterns and provides a practical overview across conditions such as endometrioma, ovarian torsion, hemorrhagic ovarian cysts, and ovarian ectopic pregnancy, with the intent of supporting radiologic interpretation. A major caveat is that the article provides narrative descriptions and a brief review rather than a systematic quantitative evaluation of diagnostic accuracy. Relevance to endometriosis: endometrioma is specifically addressed as an ovarian pathology with characteristic ultrasound assessment, though the paper’s main focus is ultrasound evaluation of acute pelvic pain of ovarian origin broadly rather than endometriosis alone.

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Abstract

Ultrasound is the initial imaging modality in evaluating ovarian pathology in women in a fertile state, establishing the diagnosis in most cases and without exposing them to large doses of ionizing radiation. In this article, we will describe the imaging findings of the main ovarian pathologies that generate pelvic pain and that are a reason for admission to the emergency room, as well as a brief review of each topic.

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