Imaging of Female Children and Adolescents with Abdominopelvic Pain Caused by Gynecological Pathologies

Stefan Puig
In: Evidence-Based Imaging in Pediatrics · 2009 · pp. 593–602 · doi:10.1007/978-1-4419-0922-0_39 · W2102158377
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⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-08 ⓘ

This review outlines imaging modalities for evaluating gynecological pathologies causing abdominopelvic pain in female children and adolescents, emphasizing ultrasound followed by MRI or CT when needed.

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This chapter reviews imaging approaches for female children and adolescents presenting with abdominopelvic pain attributed to gynecological pathology, emphasizing diagnostic difficulty due to nonspecific clinical presentation and recommending consideration of specific emergent causes. It states that ovarian torsion should be considered for acute pain and that in menstruating patients pregnancy (orthotopic or ectopic) should be part of the differential, while ultrasound is the initial imaging modality for evaluating the uterus and adnexa and MRI is preferred if ultrasound is non-diagnostic with ongoing diagnostic uncertainty, with CT potentially considered for acute symptoms. A major caveat highlighted is that supporting evidence is limited to moderate for multiple recommendations. Relevance to endometriosis: the paper specifically notes that endometriosis is one of the other gynecological causes of abdominopelvic pain with a significant impact on societal healthcare costs, though the chapter’s main focus is imaging strategies for pediatric/adolescent gynecological pathology.

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References

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Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0922-0_39 Download citation DOI: https://doi.org/10.1007/978-1-4419-0922-0_39 Published: Publisher Name: Springer, New York, NY Print ISBN: 978-1-4419-0921-3 Online ISBN: 978-1-4419-0922-0 eBook Packages: MedicineMedicine (R0)

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