Is There Any Benefit to Obtaining a Pelvic Ultrasound After a Negative CT of the Abdomen/Pelvis in a Woman with Chronic Abdominal Pain?

Janet Smereck, Kerri Layman
In: Gastrointestinal Emergencies · 2019 · pp. 491–493 · doi:10.1007/978-3-319-98343-1_139 · W2914019661
book-chapter OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Pelvic ultrasonography frequently diagnoses conditions in women with chronic pelvic pain that may be missed by CT, such as endometriosis, leiomyomatosis, and ovarian pathology.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This chapter addresses the diagnostic problem of adult women with chronic pelvic pain (noncyclic pain >6 months), focusing on the question of whether pelvic ultrasound adds benefit after a negative CT of the abdomen/pelvis. It reviews how CT may miss important causes and notes that pelvic ultrasonography often identifies diagnoses such as endometriosis, uterine leiomyomatosis, adenomyosis, pelvic congestion syndrome, polycystic ovary syndrome, and it also highlights rare but critical chronic ovarian torsion. A key limitation is that the chapter is not an original comparative study; it provides an imaging/diagnostic approach based on the literature rather than reporting new outcome data. Relevance to endometriosis: the chapter explicitly lists endometriosis and adenomyosis among conditions commonly diagnosed in women with chronic pelvic pain using ultrasound, while the main focus is the imaging value of pelvic ultrasound after negative CT.

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last seen: 2026-06-10T17:14:06.276822+00:00
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