Number: | 27ESURABS0070 |
Type: | Educational Electronic Presentation |
Authors: | Filipe Alves, Margarida Morgado, Teresa Vilares, Beatriz Lima, Ana Duarte, Bruno Araújo, António Madureira |
Keywords: | Computed Tomography/CT. Acute pelvic pain. Gynecology. |
To review the Computed Tomography (CT) imaging of gynecologic causes of acute pelvic pain, focusing on:
Acute pelvic pain in women is generally defined as pain of the lower abdomen or pelvis lasting for less than three months. It is a common presenting symptom to the emergency department and radiologist.
CT is important in the evaluation of women presenting with acute pelvic pain, due to its availability and to its acuity in differentiating gynecologic from non-gynecologic causes of acute pelvic pain; it may be performed if Ultrasound (US) findings are equivocal or if the abnormality extends beyond the field of view achievable with the endovaginal probe and further evaluation is required.
For CT evaluation of suspected female pelvic disease, it is essential to use intravenous contrast material - in single-section helical CT, it is recommended to administer 100-145 mL of 60% iodinated intravenous contrast material at a rate of 1,5-2 mL/sec with a scan delay...
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Although US is the imaging technique primarily used for the evaluation of women presenting with acute pelvic pain, CT does play an important role in this setting.
Radiologists should master the CT imaging of gynecologic causes of acute pelvic pain, in order to properly evaluate women presenting with this symptom.
Bibliography
Morgan, M., Jones, J. Acute pelvic pain. Reference article, Radiopaedia.org. (accessed on 24 Oct 2021) https://doi.org/10.53347/rID-33306
Bennett, G. L., Slywotzky, C. M., & Giovanniello, G. (2002). Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics: a review publication of the Radiological Society of North America, Inc, 22(4), 785-801. https://doi.org/10.1148/radiographics.22.4.g02jl18785
Radswiki, T., Marghany, B. Pelvic inflammatory disease....
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