Role of USG in Evaluation of Acute Pelvic Pain in Reproductive Age Female Patients

Dr Swati Sirohiwal, Dr. V. G. Goswami

Abstract: In an emergency setting pelvic ultrasound is the tool of choice for the evaluation of the patients presenting with acute pelvic pain. It has a high sensitivity and specificity for detection of pelvic pathology, low cost, widespread availability and lack of ionizing radiation. Aim of the study was to evaluate the role of USG in diagnosing conditions presenting as acute pelvic pain in females of reproductive age group that pose a diagnosis dilemma on clinical findings. Material and methods 12 female patients who presented with acute pelvic pain were evaluated by USG and managed accordingly. Results USG examination was able to diagnose the cause of acute pelvic pain in 11 patients correctly. In one patient there was given possibility of rupture of ovarian cyst and it was found out to be torsion of ovary intraoperatively. This article presents a variety of case scenarios regarding the female of reproductive age presenting with acute pelvic and lower abdominal pain. By using illustrative images, the reader will be able to differentiate between the most common causes of abdominal and/or pelvic pain and identify typical B-mode and color Doppler ultrasound findings that require immediate treatment, while minimizing the performance of unnecessary additional imaging and invasive procedures.

Keywords: USG, acute pelvic pain, reproductive females