Imaging of Acute Pelvic Pain

Fauzia Q. Vandermeermd, Vandermeermd FQ, Jade J Wong-You-Cheong, Jade J. Wong-You–Cheong, Wong-You-Cheong JJ
Topics in magnetic resonance imaging : TMRI · 2010 · vol. 21(4) , pp. 201–211 · doi:10.1097/rmr.0b013e31823d7feb · PMID:22082769 · W2321310397
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-10 ⓘ

Diagnostic imaging is crucial for identifying common gynecologic causes of acute pelvic pain, such as ectopic pregnancy, pelvic inflammatory disease, and hemorrhagic ovarian cysts, while also considering less frequent gynecologic and overlapping non-gynecologic conditions like appendicitis.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-23 · read from full text ⓘ

This article reviews the role of diagnostic imaging in identifying the causes of acute pelvic pain in female patients, noting that it is often a clinical challenge. It highlights ectopic pregnancy, pelvic inflammatory disease, and hemorrhagic ovarian cysts as the most common gynecologic diagnoses, while also mentioning less frequent conditions like ovarian torsion and degenerating fibroids. The authors emphasize that endometriosis should be considered among other potential causes, alongside nongynecologic issues such as acute appendicitis. Relevance to endometriosis: listed as one of several differential diagnoses for acute pelvic pain, though the paper's main focus is on broader imaging strategies for acute presentation rather than chronic management of endometriosis or adenomyosis.

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Abstract

Determining the cause of acute pelvic pain in the female patient is often a clinical challenge. Diagnostic imaging can be invaluable in this situation. Ectopic pregnancy, pelvic inflammatory disease, and hemorrhagic ovarian cysts are the most commonly diagnosed gynecologic conditions presenting with acute pelvic pain. Ovarian torsion and degenerating fibroids occur less frequently. Other causes to consider include endometriosis, and postpartum causes such as endometritis, or ovarian vein thrombosis. Finally, nongynecologic conditions may overlap in their presentation of acute pelvic pain and should also be considered. The most important of these is acute appendicitis.
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Original Articles Imaging of Acute Pelvic Pain - Fauzia Q. Vandermeermd - Jade J. Wong-You-Cheong Topics in Magnetic Resonance Imaging 21(4):p 201-211, July 2010. | DOI: 10.1097/RMR.0b013e31823d7feb Determining the cause of acute pelvic pain in the female patient is often a clinical challenge. Diagnostic imaging can be invaluable in this situation. Ectopic pregnancy, pelvic inflammatory disease, and hemorrhagic ovarian cysts are the most commonly diagnosed gynecologic conditions presenting with acute pelvic pain. Ovarian torsion and degenerating fibroids occur less frequently. Other causes to consider include endometriosis, and postpartum causes such as endometritis, or ovarian vein thrombosis. Finally, nongynecologic conditions may overlap in their presentation of acute pelvic pain and should also be considered. The most important of these is acute appendicitis. Copyright © 2010 Lippincott Williams & Wilkins, Inc.

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endometriosis

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