"We are women.. beyond appendix there is more"

This poster is published under an open license. Please read the disclaimer for further details.

Congress:

ECR 2017

Poster Number:

C-0451

Type:

Educational Exhibit

Keywords:

Acute, Diagnostic procedure, Computer Applications-Detection, diagnosis, Ultrasound, MR, CT, Genital / Reproductive system female, Emergency, Abdomen

Authors:

F. Rosa¹, I. Mussetto¹, G. Ficarra², G. Rescinito¹, L. Basso¹, R. Podesta'¹, A. Villa³, C. E. Neumaier¹, N. GANDOLFO¹; ¹Genova/IT, ²Sassello (SV)/IT, ³Sarzana, It/IT

DOI:

10.1594/ecr2017/C-0451

DOI-Link:

https://dx.doi.org/10.1594/ecr2017/C-0451

Fig. 21: Hugh-Fitz Curtis syndrome

Fig. 18: 16 years old young woman presented to Emergency room with acute RIF pain and...

Fig. 6: Ureteral endometriosis in a 35-year-old woman with right lower quadrant pain...

Fig. 10: Cutaneous nodules.

Learning objectives

The current exhibit aims to discuss: Common and uncommon gynecological pathologies causing acute or sub-acute abdominal pain; adequate imaging modalities utilized for their fast and proper diagnosis; Relationship between imaging findings and clinical laboratory information.

Background

In the Emergency Department “nothing as it seems”: about 10% of female patients with clinical diagnosis of acute appendicitis presented instead a gynecological pathology [ 1]. Moreover up to 13% women, who present to General Surgeon having symptoms of acute abdomen, have gynecological problems [2].Diagnosis of acute appendicitis often relies on clinical/laboratory data and on useful score (Alvarado score), which summarizes clinical features, (Table 1). Ultrasound has 60–80% sensitivity and specificity for acute appendicitis and cannot be relied upon. The report often states that they...

Findings and procedure details

1) Pregnant related pathologies: ECTOPIC pregnancy Ectopic pregnancy refers to the implantation of a gestational sac outside of the uterine cavity. The overall incidence is 1-2% of pregnancies [3]. The classic clinical presentation is with abdominal pain, amenorrhea and bleeding. Initial evaluation consists of hormonal assays and pelvic ultrasonography (US). Symptoms could not be necessarily severe: mild pelvic pain and hemorrhagic spotting in a patient in early pregnancy (5-9 weeks of amenorrhea) [4,5]. Nonetheless, monitoring of hemodynamic status is crucial, as hemorrhage can be life...

Conclusion

Knowledge of the prevalence and imaging appearances of gynecological diseases has important implications in diagnosis, prognostic and therapeutic management in these patients.

Personal information

References

Aho AJ, Gronroos M, Punnone.R. Abdominal gynecological emergencies in the surgical unit.Ann Chir. Gynaecol: 1979:68:47. Brown S.P, Eckersley J.R.T, Dudley H.A. The gynecological profile of acute general surgery.JR.Coll.Surg; 1988:33; 13-15. Centers for Disease Control and Prevention (CDC). Ectopic pregnancy: United States, 1990–1992. MMWR Morb Mortal Wkly Rep 1995; 44:46–48. Lipscomb GH, Stovall TG, Ling FW. Nonsurgicaltreatment of ectopic pregnancy. N Engl J Med 2000 ;343:1325–1329 Attar E. Endocrinology of ectopic pregnancy. Obstet Gynecol Clin North Am 2004; 31:779–794. Lipscomb GH, Stovall TG, Ling FW. Nonsurgical...