E2094. Parsing Pelvic Pains: Ultrasound Evaluation of Acute Female Pelvic Pain
  1. Jay Im; University of Rochester Medical Center
  2. Akshya Gupta; University of Rochester Medical Center
  3. Mark Manganaro; University of Rochester Medical Center
  4. Pranay Rao; University of Rochester Medical Center
  5. Vikram Dogra; University of Rochester Medical Center
Ultrasound is commonly utilized as the first imaging modality for women with acute pelvic pain. Etiologies can be broken down into both gynecologic and nongynecologic causes; however, they are difficult to differentiate based on symptoms alone. Ultrasonography allows for detailed visualization of the pelvic anatomy and vasculature while sparing radiation exposure. This exhibit will help residents and the general radiologist become familiar with common gynecologic and nongynecologic causes of pelvic pain seen on ultrasound.

Educational Goals / Teaching Points
This exhibit will provide a case-based review of acute female pelvic pain using ultrasound imaging. Gynecologic and nongynecologic etiologies will be discussed as well as their respective ultrasound imaging findings.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
This exhibit will highlight examples of gynecologic and nongynecologic causes for acute female pelvic pain including but not limited to appendicitis, diverticulitis, endometriosis, pyosalpinx, hydrosalpinx, ectopic pregnancy, and ovarian torsion. Each case will be accompanied by ultrasound images as well as any relevant additional imaging in a different modality such as CT or MRI for correlation as appropriate.

Acute female pelvic pain heavily relies on ultrasound as the imaging modality of choice for initial evaluation of its etiology. It is crucial to differentiate the gynecologic conditions from nongynecologic conditions, which can commonly mimic them to provide appropriate care for the patient.