Ultrasonographic Evaluation of Acute Pelvic Pain in Female Patients

Acute pelvic pain is a common emergency presentation among female patients. This study was done to identify its'common causes and sonographic patterns in our local community. From June 2011 to December 2016, 94 femalepatients from Hadramout, Shabwa and Almahra governorates, aged between 13 and 45 years, who referred toBahabara radiology center in Mukalla complaining of acute pelvic pain, were examined and evaluated usingsonography with a deep frequency transducer (3.5-5 MHz). Their age groups and resulting sonographic findingswere recorded and classified accordingly. The results showed that eighteen patients (19.15%) had negative or normalultrasound results, while 76 (80.85%) had detectable cause, most of them at reproductive age group (81.58%), whileonly 18.42% adolescents. Ovarian cyst and its complications was the commonest cause among positive cases in bothadolescents and reproductive age groups (29.79%) followed by pelvic inflammatory disease (17.02%), acuteappendicitis (9.57%), nephrolithiasis and ureteric stone (7.45 %), ectopic pregnancy (5.32%), uterine myoma necrosis(4.25%), incarcerated inguinal hernia (3.19%), ovarian torsion (2.13%) and dermoid cyst (2.13%). We concluded thatAPP is more common among reproductive age group, and gynecologic causes were the most common in our study.Keywords: Pelvic pain, gynecologic diseases, ovarian cyst, pelvic inflammatory disease, appendicitis.