Sonographic findings of a gynecological cause of acute pelvic pain – a systematic review

Talat, Hafsa; Tul-Sughra Murrium, Syeda Khadija; Suleman, Taiba; Tallat, Easha; Naveed, Fatima; Hussain Shah, Syed Joun; Hina Zulfiqar, Gull E

doi:10.15557/jou.2022.0030

Abstract

Objective

The purpose of this study was to use ultrasonographic data to rule out and distinguish diseases that cause acute pelvic pain.

Material and method

The literature was reviewed using a systematic search of the databases Google Scholars and PubMed, as well as through hand searching. We looked through a total of 35 articles, but only 26 were selected after preliminary screening. Furthermore, 14 articles were left out because they required a membership, copyright clearance, or featured non-English references. There were a total of 12 articles included in the final revuew. Among all the study-related articles, only original research studies and one systematic review that sonographically explored the gynecological etiology of acute pelvic pain were selected.

Results

Acute pelvic pain in women might be difficult to identify between gynecologic and non-gynecologic causes based solely on patient history and examination. Advanced imaging, like ultrasound, aids in determining the reason. Pelvic inflammatory disease can be difficult to diagnose, and clinicians should use a low threshold for starting presumptive treatment in order to avoid significant long-term effects such as infertility.

Conclusions

Pelvic pain can be acute, chronic or functional. Imaging investigations such as CT, ultrasonography, and MRI can assist in establishing a diagnosis. Particularly ultrasound scanning makes it possible to arrive at a diagnosis with a high degree of precision.

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