Role of Different Imaging Modalities in Assessment of Gynecological Causes of Acute Pelvic Pain

Khater, Hamada Mohamed; El said, Asmaa Yousef; Mohamed, Hebat Allah Aly

doi:10.21608/bmfj.2025.318254.2193

	Role of Different Imaging Modalities in Assessment of Gynecological Causes of Acute Pelvic Pain
Benha Medical Journal
Article 10, Volume 42, Issue 6, June 2025, Page 98-108 PDF (780.6 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2025.318254.2193
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Authors
Hamada Mohamed Khater¹; Asmaa Yousef El said²; Hebat Allah Aly Mohamed ³
¹Assistant Professor of Radiology, Faculty of Medicine, Benha University
²Lecturer of Radiology, Faculty of Medicine, Benha University
³(M.B.B.Ch, Faculty of Medicine, AL-Azhar University)
Abstract
Background: Acute pelvic pain refers to non-cyclic lower abdominal or pelvic pain lasting less than 3 months and is often associated with nausea, vomiting and / or leukocytosis. This study aimed to evaluate the role of different imaging modalities in the evaluation of gynecological causes of pelvic pain. Methods: This interventional study carried out on 73 female patients complaining of acute pelvic pain due to gynecological causes. All studied cases were subjected to clinical examination [Abdominal examination, pelvic examination, additional systemic examination]. Laboratory investigations [pregnancy testing [ β-HCG], additional tests (CA125)]. Imaging modalities [Ultrasound (US), Computed Tomography (CT) or Magnetic Resonance Imaging (MRI). Results: Ultrasound results showed high positive prediction in most findings and high negative prediction value in all findings. There were high agreement in the following findings: Complicated uterine fibroid, Ectopic Pregnancy, Hemorrhagic Ectopic pregnancy, Hemorrhagic Ovarian Cyst, Tubo-Ovarian Abscess and Uterine Rupture. Moderate agreement shown in Endometriotic cysts. Conclusion: Ultrasound emerged as a primary imaging tool due to its non-invasiveness and cost-effectiveness, enabling the identification of various pathologies. CT and MRI provided additional insights in cases where ultrasound findings were inconclusive, facilitating detailed characterization of pelvic diseases.
Keywords
Imaging Modalities; Gynecological Causes; Acute Pelvic Pain; CT; MRI


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