ARRS 2022 Abstracts

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E1678. When Residents are On-call: A Pictorial Review of Pelvic Emergencies
Authors
  1. Stefana Barcan; Emergency Hospital Prof. Dr. N. Oblu
  2. Nicolae Barcan; Emergency Hospital Prof. Dr. N. Oblu
  3. Claudia Moldovanu; Emergency Clinical County Hospital Cluj-Napoca
  4. Andreea Teodorescu; Emergency Clinical County Hospital Cluj-Napoca
Background
Pelvic pain is a common complaint to the emergency department but is often non-specific and even under the best of circumstances, clinical examination, and laboratory findings, the path to a definitive diagnosis is not always a straightforward one. The radiologist plays a major role by integrating clinical findings with imaging features in order to establish a diagnosis. Ultrasonography is the preferred imaging technique and initial imaging modality to narrow the diagnosis.

Educational Goals / Teaching Points
This educational exhibit will provide a brief presentation of the pelvic anatomy, then illustrate and discuss different multimodality imaging appearances (US, CT, MRI) of variety of acute pelvic pathologies in both sexes through a case-based review. There will be suggested different steps and clues in imaging that can help in final diagnosis. At the end of presentation, the radiologist will learn to identify imaging features of the most common and uncommon pelvic pathologies.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
The first diagnostic step in a patient with acute pelvic pain is a thorough examination and medical history. This exhibit will illustrate a spectrum of findings on multimodality imaging in the commonly encountered and uncommonly pelvic acute emergencies. These are classified into three broad categories, including female-associated disorders (like ectopic gestation rupture, adnexal torsion, hydatidiform mole), male-associated disorders (testicular torsion, penian dorsal vein thrombosis, penian abscess), and digestive and urological disorders (recto-urethral fistula and rectal abscess).

Conclusion
Acute pelvic pathology is highly varied and complex and requires prompt diagnosis to avoid the associated high morbidity and mortality. CT and MRI play a crucial role in the diagnosis of acute pelvic emergencies, especially when the US findings are indeterminate.