Type:
Educational Exhibit
Keywords:
Inflammation, Infection, Acute, Contrast agent-intravenous, MR, Genital / Reproductive system male, Genital / Reproductive system female, Emergency
Authors:
R. Gianordoli1, S. Horta1, M. FUKUMOTO2, B. A. Vento3, M. H. Verussa1, F. Yamauchi2, F. M. A. Coelho4, P. Viana1; 1São Paulo/BR, 2SAO PAULO/BR, 3Belo Horizonte, MG/BR, 4São Paulo, São Paulo/BR
DOI:
10.26044/ecr2019/C-2318
Background
Acute pelvic pain is a common symptom in the emergency department,
usually caused by gynecologic or urologic conditions.
An accurate and quick diagnosis is pivotal for the appropriate management.
Imaging assessment is an essential step on this conditions and the patients are frequently investigated by ultrasound (US) and computed tomography (CT).
However,
MR imaging has become increasingly interesting in this scenery,
especially for pregnants,
patients allergic to iodinated contrast or those who require reduced exposure to ionizing radiation such as children and young adults.
Pelvic emergency include several disorders that result from adnexal and uterine diseases,
as well as condition of prostate and seminal vesicles,
penile,
and scrotum.
Female emergencies may be classified in adnexal disorders,
such hemorrhagic diseases (i.e.
ectopic pregnancy,
rupture of ovarian tumor,
hemorrhagic cysts),
pelvic inflammatory disease (i.e.
tubo-ovarian abscess) adnexal torsion,
and uterine disorders,
such acute fibroid complications,
uterine bleeding and pregnancy-related diseases.
Male emergencies may be classified in prostate,
seminal vesicles (abscess) and penile disease (priapism,
fracture).