Type:
Educational Exhibit
Keywords:
Paediatric, Genital / Reproductive system female, Ultrasound, MR, Surgery, Acute, Cysts, Neoplasia
Authors:
A. B. Barba Arce1, E. herrera romero2, V. Fernandez-Lobo3, M. Pelaz Esteban4, Y. Lamprecht3, E. Montes Figueroa3, E. Marín Diez3, P. Gallego Ferrero3, A. Iturralde-Garriz3; 1Torrelavega, Cantabria/ES, 2Santander, Cantabria/ES, 3Santander/ES, 4Liencres, Cantabria/ES
DOI:
10.1594/ecr2018/C-0639
Background
It is not unusual to find girls sent to our service for acute hypogastric pain with the suspicion of gastrointestinal or urinary pathology,
observing in the ultrasound study that the cause of the pain is of gynecological origin.
The radiologist must know the differential diagnosis of the most frequent abdominal pathologies by age groups and know to recognize the radiological findings of the acute gynecological pathology. Fig. 1
Transabdominal ultrasonography (US) is the initial imaging modality of choice in children and adolescents with acute or subacute pelvic pain,
because of its widespread availability,
ease of use,
and lack of ionizing radiation and because it does not require sedation.
Endovaginal US may be used in sexually active adolescents.
Computed tomography (CT) or magnetic resonance (MR) imaging should be performed to obtain additional information,
such as in the case of a tumor to know the nature and extent of the disease.
The MR imaging examination is longer and may require sedation in a younger child.
We realize a review of gynecological diseases that frequently present acutely,
analyzing cases of girls from one month of life to adolescence.