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

Stefan Puig
In: Evidence-Based Imaging · 2011 · pp. 649–658 · doi:10.1007/978-1-4419-7777-9_39 · W4233605740
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Ultrasound is the primary imaging choice for pediatric abdominopelvic pain, with MRI or CT used if diagnosis remains uncertain.

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This evidence-based imaging chapter addresses how to evaluate abdominopelvic pain in female children and adolescents in the setting of gynecological pathologies, discussing high-level diagnostic workflows using ultrasound as the initial modality for assessing the uterus and adnexa, with MRI as the preferred next test when ultrasound is nondiagnostic. It highlights that clinical presentations are often nonspecific, with limited evidence for diagnosis; it emphasizes considering surgical emergencies such as ovarian torsion in acute pain and pregnancy as a cause in menstruating adolescents. It also notes that CT may be considered for acute symptoms and that tumors can cause complications leading to acute abdominopelvic pain, while other gynecological causes like endometriosis and PID have societal health care cost impacts, with evidence graded as limited to moderate. This paper does not specifically study patients but synthesizes imaging recommendations and explicitly mentions endometriosis in relation to societal health care costs, though its main focus is pediatric/adolescent gynecologic imaging strategy.

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References

Carrico CW, Fenton LZ, Taylor GA, DiFiore JW, Soprano JV. AJR Am J Roentgenol 1999;172:513–516. Hollmann AS, Macdonald S. In Carty H (ed.): Emergency Pediatric Radiology. Berlin: Springer, 1999;217–232. Klein MD, Rabbani AB, Rood KD et al. J Pediatr Surg 2001;36:1375–1380. Puig S, Hörmann M, Rebhandl W, Felder-Puig R, Prokop M et al. Radiology 2003;226:101–104. Strouse PJ. Singapore Med J 2003;44:312–322. Bailez MM. Semin Pediatr Surg 2007;16:278–287. Rock JA, Schlaff WD. Fertil Steril 1985;43:681–692. Bhatt S, Kocakoc E, Dogra VS. Ultrasound Q 2006;22:273–280. Woodward PJ, Sohaey R, Mezzetti TP, Jr. Radiographics 2001;21:193–216; questionnaire 288–294. Chatman DL, Ward AB. J Reprod Med 1982;27:156–160. Guo SW, Wang Y. Gynecol Obstet Invest 2006;62:121–130. Guo SW, Wang Y. Fertil Steril 2006;86:1584–1595. Black AY, Jamieson MA. Curr Opin Obstet Gynecol 2002;14:467–474. Vinatier D, Orazi G, Cosson M, Dufour P. Eur J Obstet Gynecol Reprod Biol 2001;96:21–34. Laufer MR, Sanfilippo J, Rose G. J Pediatr Adolesc Gynecol 2003;16:S3–S11. Ozkan S, Murk W, Arici A. Ann N Y Acad Sci 2008;1127:92–100. Eskenazi B, Warner ML. Obstet Gynecol Clin North Am 1997;24:235–258. Houston DE, Noller KL, Melton LJ III., Selwyn BJ, Hardy RJ. Am J Epidemiol 1987;125:959–969. Matalliotakis IM, Cakmak H, Fragouli YG, Goumenou AG, Mahutte NG et al. Arch Gynecol Obstet 2008;277:389–393. Kontoravdis A, Hassan E, Hassiakos D, Botsis D, Kontoravdis N et al. Clin Exp Obstet Gynecol 1999;26:76–77. Laufer MR, Goitein L, Bush M, Cramer DW, Emans SJ. J Pediatr Adolesc Gynecol 1997;10:199–202. Reese KA, Reddy S, Rock JA. J Pediatr Adolesc Gynecol 1996;9:125–128. Vercellini P, Fedele L, Arcaini L, Bianchi S, Rognoni MT et al. J Reprod Med 1989;34:827–830. Osuga Y, Koga K, Tsutsumi O et al. Gynecol Obstet Invest 2002;53(suppl 1):33–39. Paterson A. In Carty H (ed.): Imaging Children. Edinburgh, NY: Elsevier Churchill Livingstone, 2005;915–941. Gray-Swain MR, Peipert JF. Curr Opin Obstet Gynecol 2006;18:503–510. Ross J, Judlin P, Nilas L. Int J STD AIDS 2008;12:84–87. Low N, McCarthy A, Macleod J et al. Health Technol Assess 2007;11:iii–iv, ix–xii, 1–165. Bevan CD, Johal BJ, Mumtaz G, Ridgway GL, Siddle NC. Br J Obstet Gynaecol 1995;102:407–414. CDC. MMWR Recomm Rep 2002;51:1–78. Morcos R, Frost N, Hnat M, Petrunak A, Caldito G. J Reprod Med 1993;38:53–56. Chang HC, Bhatt S, Dogra VS. Radiographics 2008;28:1355–1368. Albayram F, Hamper UM. J Ultrasound Med 2001;20:1083–1089. Breech LL, Hillard PJ. Curr Opin Obstet Gynecol 2005;17:483–489. Quillin SP, Siegel MJ. Radiographics 1993;13:1281–1293; discussion 1294. Bouguizane S, Bibi H, Farhat Y et al. J Gynecol Obstet Biol Reprod (Paris) 2003;32:535–540. Graif M, Itzchak Y. AJR Am J Roentgenol 1988;150:647–649. Hata K, Hata T, Senoh D et al. Br J Obstet Gynaecol 1990;97:163–166. Stark JE, Siegel MJ. AJR Am J Roentgenol 1994;163:1479–1482. Burnett LS. Surg Clin North Am 1988;68:385–398. Hibbard LT. Am J Obstet Gynecol 1985;152:456–461. Houry D, Abbott JT. Ann Emerg Med 2001;38:156–159. Mordehai J, Mares AJ, Barki Y, Finaly R, Meizner I. J Pediatr Surg 1991;26:1195–1199. Lee EJ, Kwon HC, Joo HJ, Suh JH, Fleischer AC. J Ultrasound Med 1998;17:83–89. Littman ED, Rydfors J, Milki AA. Hum Reprod 2003;18:1641–1642. Beaunoyer M, Chapdelaine J, Bouchard S, Ouimet A. J Pediatr Surg 2004;39:746–749. Warner MA, Fleischer AC, Edell SL et al. Radiology 1985;154:773–775. Pomeranz AJ, Sabnis S. Pediatr Emerg Care 2004;20:172–174. Cohen HL, Shapiro MA, Mandel FS, Shapiro ML. AJR Am J Roentgenol 1993;160:583–586. Orbak Z, Kantarci M, Yildirim ZK, Karaca L, Doneray H. J Pediatr Endocrinol Metab 2007;20:397–403. Webb EM, Green GE, Scoutt LM. Radiol Clin North Am 2004;42:329–348. Park SB, Kim JK, Kim KR, Cho KS. Radiographics 2008;28:969–983. Comerci JT, Jr., Licciardi F, Bergh PA, Gregori C, Breen JL. Obstet Gynecol 1994;84:22–28. Kido A, Togashi K, Konishi I et al. AJR Am J Roentgenol 1999;172:445–449. Outwater EK, Siegelman ES, Hunt JL. Radiographics 2001;21:475–490. Zane SB, Kieke BA, Jr., Kendrick JS, Bruce C. Matern Child Health J 2002;6:227–236. RCOG. Why Mothers Die 1997–1999. The Fifth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. London: RCOG Press, 2001. Menon S, Sammel MD, Vichnin M, Barnhart KT. J Pediatr Adolesc Gynecol 2007;20:181–185. Yeh JM, Hook EW, III, Goldie SJ. Sex Transm Dis 2003;30:369–378. Gao X, Outley J, Botteman M, Spalding J, Simon JA et al. Fertil Steril 2006;86:1561–1572. Zhao SZ, Wong JM, Davis MB, Gersh GE, Johnson KE. Am J Manag Care 1998;4:1127–1134. Simoens S, Hummelshoj L, D’Hooghe T. Hum Reprod Update 2007;13:395–404. Kunz K, Kuppermann M, Moynihan C, Williamson A, Mazonson PT. Am J Manag Care 1995;1:25–29. Husby GK, Haugen RS, Moen MH. Acta Obstet Gynecol Scand 2003;82:649–653. Pandian Z, Bhattacharya S, Vale L, Templeton A. Cochrane Database Syst Rev 2005:CD003357. Pashayan N, Lyratzopoulos G, Mathur R. BMC Health Serv Res 2006;6:80. Philips Z, Barraza-Llorens M, Posnett J. Hum Reprod 2000;15:95–106. Stones RW, Selfe SA, Fransman S, Horn SA. Baillieres Best Pract Res Clin Obstet Gynaecol 2000;14:415–431. Ballard K, Lowton K, Wright J. Fertil Steril 2006;86:1296–1301. Schenken RS. Fertil Steril 2006;86:1305–1306; discussion 1317. Chiou SY, Lev-Toaff AS, Masuda E, Feld RI, Bergin D. J Ultrasound Med 2007;26:1289–1301. Servaes S, Zurakowski D, Laufer MR, Feins N, Chow JS. Pediatr Radiol 2007;37:446–451. Vijayaraghavan SB. J Ultrasound Med 2004;23:1643–1649; quiz 1650–1651. Bulas DI, Ahlstrom PA, Sivit CJ, Blask AR, O’Donnell RM. Radiology 1992;183:435–439. Sam JW, Jacobs JE, Birnbaum BA. Radiographics 2002;22:1327–1334. Bazot M, Lafont C, Rouzier R, Roseau G, Thomassin-Naggara I et al. Fertil Steril 2009;92:1825–1833. Mol BW, van der Veen F, Bossuyt PM. Hum Reprod 1999;14:2855–2862. Gracia CR, Barnhart KT. Obstet Gynecol 2002;97:464–470. Buckley RG, King KJ, Disney JD, Ambroz PK, Gorman JD et al. Acad Emerg Med 1998;5:951–960. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2011 Springer New York About this chapter Cite this chapter Puig, 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 Download citation DOI: https://doi.org/10.1007/978-1-4419-7777-9_39 Published: Publisher Name: Springer, New York, NY Print ISBN: 978-1-4419-7776-2 Online ISBN: 978-1-4419-7777-9 eBook Packages: MedicineMedicine (R0)

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