Role of Different Imaging Modalities in Assessment of Gynecological Causes of Acute Pelvic Pain | ||
| Benha Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 01 February 2025 PDF (365.21 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2025.318254.2193 | ||
| Authors | ||
| Hamada Mohamed Khater1; Asmaa Yousef El said2; Hebat Allah Aly Mohamed* 3 | ||
| 1Assistant Professor of Radiology, Faculty of Medicine, Benha University | ||
| 2Lecturer of Radiology, Faculty of Medicine, Benha University | ||
| 3(M.B.B.Ch, Faculty of Medicine, AL-Azhar University) | ||
| Abstract | ||
| Background: Acute pelvic pain refers to non-cyclic lower abdominal or pelvic pain lasting less than 3 months and is often associated with nausea, vomiting and / or leukocytosis. This study aimed to evaluate the role of different imaging modalities in the evaluation of gynecological causes of pelvic pain. Methods: This interventional study carried out on 73 female patients complaining of acute pelvic pain due to gynecological causes. All studied cases were subjected to clinical examination [Abdominal examination, pelvic examination, additional systemic examination]. Laboratory investigations [pregnancy testing [ β-HCG], additional tests (CA125)]. Imaging modalities [Ultrasound (US), Computed Tomography (CT) or Magnetic Resonance Imaging (MRI). Results: Ultrasound results showed high positive prediction in most findings and high negative prediction value in all findings. There were high agreement in the following findings: Complicated uterine fibroid, Ectopic Pregnancy, Hemorrhagic Ectopic pregnancy, Hemorrhagic Ovarian Cyst, Tubo-Ovarian Abscess and Uterine Rupture. Moderate agreement shown in Endometriotic cysts. Conclusion: Ultrasound emerged as a primary imaging tool due to its non-invasiveness and cost-effectiveness, enabling the identification of various pathologies. CT and MRI provided additional insights in cases where ultrasound findings were inconclusive, facilitating detailed characterization of pelvic diseases. | ||
| Keywords | ||
| Imaging Modalities; Gynecological Causes; Acute Pelvic Pain; CT; MRI | ||
|
Statistics Article View: 59 PDF Download: 25 |
||
