Unraveling female pelvic mysteries: a case based approach to CT evaluation of the acute pelvic conditions in women

Emergency, Genital / Reproductive system female, Pelvis, CT, Computer Applications-Detection, diagnosis, Computer Applications-General, Contrast agent-intravenous, Haemorrhage, Infection, Ischaemia / Infarction Authors: C. Fulgoi, C. A. Minoiu, B. Popa DOI: 10.26044/ecr2024/C-12976 Learning objectives While computed tomography (CT) is typically not the initial choice for imaging female pelvic disorders, its utilization in emergency departments, especially for patients with abdominal pain, is on the rise. As a result, radiologists are now encountering conditions on CT scans that were previously primarily investigated through ultrasound. It's crucial to identify these characteristics because they can provide valuable insights for the best course of treatment and potentially eliminate the necessity for additional diagnostic procedures.

Pelvic conditions impacting female patients arriving at the emergency department can be categorized into two main groups: those leading to pelvic pain and those resulting in dysfunctional uterine bleeding. In this poster, we aim to explore some of the main CT imaging features of the most prevalent acute gynecological conditions encountered in our emergency department. Findings and procedure details The accurate interpretation of a pelvic examination in sexually active females experiencing pelvic pain relies significantly on Human chorionic gonadotropin (hCG) results. Pregnancy status significantly influences potential diagnoses. In cases where patients present with pelvic pain, with or without bleeding, and test positive for pregnancy but show an empty uterus, the possibility of an ectopic pregnancy should be considered until proven otherwise.Conditions that cause pelvic pain include ovarian cyst with rupture, ovarian torsion, endometriosis, tubo-ovarian abscess and pyosalpinx.Hemorrhagic Ovarian Cyst:It develops during ovulation when vessels...

Sonography serves as the primary imaging method for various pelvic diseases in both men and women,providing a definitive diagnosis in many cases.In female patients, ultrasound remains the preferred imaging approach for gynecologic conditions. However, due to the prevalence of abdominal pain as a presenting symptom for many of these conditions, in the current medical landscape, CT imaging may be the initial choice. Recognizing CT findings for conditions traditionally assessed using ultrasound is becoming increasingly important. Personal information and conflict of interest C. Fulgoi: Nothing to disclose C. A. Minoiu: Nothing to disclose B. Popa: Nothing to disclose

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