Genital / Reproductive system female, Emergency, Pelvis, Ultrasound, CT, MR, Diagnostic procedure, Acute
A. Serdio1, M. LETURIA ETXEBERRIA2, M. Gredilla3, A. Aguado4, J. Elejondo Oddo5, E. Arizaga Batiz3; 1Donostia - San Sebastián/ES, 2San Sebastian, Gipuzkoa/ES, 3DONOSTIA/ES, 4San sebastian/ES, 5San Sebastián/ES
In our environment,
the initial evaluation of a patient with clinical suspicion of acute gynecological pathology is performed by the gynecologist and may include a transvaginal (TV) / endovaginal (EV) ultrasound exam.
the acute gynecological pathology can simulate acute gastrointestinal,
urinary or musculoskeletal pathology and it represents a challenging diagnosis for the general radiologist.
For the other hand,
the gynecologist does not always arrive at the accurate or complete diagnosis initially.
Acute gynecological pathology is more frequent in premenopausal women.
ultrasonography (US) should be the imaging modality performed initially,
following the ALARA (As Low As Reasonably Achievable) principle for minimizing radiation exposure.
when a definitive diagnosis cannot be established,
computed tomography (CT) and magnetic resonance (MR) imaging may narrow the differential diagnosis.