ARRS 2022 Abstracts


E2053. Gynecologic Acute Abdomen in Patients of Reproductive Age
  1. Paula Marinhas; Hospital Argerich
  2. Nebil Larrañaga; Hospital Argerich
  3. Paula Perroni; Hospital Argerich
  4. Marina Bustamante; Hospital Argerich
  5. Hugo Altieri; Hospital Argerich
  6. German Espil; No Affiliation
  7. Shigeru Kozima; Hospital Argerich
This exhibit aims to recognize the main gynecological emergency pathologies and differentiate their etiologies and describe the most frequent radiological signs in ultrasound and MDCT of gynecological etiology.

Educational Goals / Teaching Points
Pelvic pain in women of childbearing age is often a diagnostic challenge, due to the variety of etiologies that can be the cause, including both gynecological and extragynecological processes with overlapping clinical symptoms, the most frequent are: ectopic pregnancy, pelvic disease inflammatory, ovarian torsion, endometriosis, and uterine rupture.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Pelvic ultrasound is the first-line imaging method, with transabdominal and transvaginal approaches. MDCT provides additional information in cases that are inconclusive by ultrasound.

Abdominal and endocavitary ultrasound is the first method to be performed in the algorithm, being necessary for the evaluation by MDCT when there are uncertainties, for an adequate diagnosis of the pathology.