The role of ultrasound in the management of women with acute and chronic pelvic pain

Emeka Okaro, E. Okaro, Lil Valentin, L. Valentin
Best Practice & Research Clinical Obstetrics & Gynaecology · 2004 · vol. 18(1) , pp. 105–123 · doi:10.1016/j.bpobgyn.2003.09.012 · PMID:15123061 · W2116141546
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This paper reviews the utility of ultrasound in diagnosing and managing acute and chronic pelvic pain in women.

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Abstract

Pelvic pain (acute or chronic) is a common symptom in women of all ages. Ultrasonography is the least invasive investigative tool available to the clinician. Transvaginal probes produce high-resolution images of the pelvic organs, providing reliable and reproducible information without the need for a full bladder. Common gynaecological pathology involving the uterus, Fallopian tube and/or the ovary can be diagnosed with confidence. Non-gynaecological pathology involving the bowel can also be diagnosed with accuracy, and will often be seen in the acute gynaecological setting. Ultrasound can be used to triage patients into appropriate treatment protocols, enabling the clinician to avoid surgery in some cases and select the correct surgical approach in others. If the patient has a negative pregnancy test, no pelvic tenderness on bimanual examination and a normal scan, significant pathology is very unlikely.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Pelvic Pain Acute Disease Chronic Disease Female Genital Diseases, Female Genital Diseases, Female Genital Diseases, Female Humans Pelvic Pain Pelvic Pain Ultrasonography

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References (62)

Cited by (5)

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openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:02:29.018211+00:00
License: CC0 · commercial use OK