1. To review the spectrum of gynecological conditions that may manifest as acute pelvic pain with emphasis on the organ of origin. 2. To illustrate each entity’s most characteristic imaging findings.

Acute pelvic pain in women is a nonspecific symptom that is generally defined as pain of the lower abdomen or pelvis that has lasted less than three months. Most acute pelvic pain is caused by reproductive, urinary or gastrointestinal tract disorders, although there are musculoskeletal, vascular, or neurologic processes that can contribute as well. This work is focused on gynecologic conditions. The differential diagnosis of pelvic pain of gynecologic origin is most logically divided by the age and pregnancy status of the patient(1)( Fig. 2...

♦ Ovarian based entities Functional cysts The most common cystic ovarian lesions are benign functional ovarian cysts. Pain may develop because of rapid cystic enlargement, rupture, or hemorrhage, alone or in combination. -Follicular cysts are the most common well-defined adnexal masses(2). Most of them are asymptomatic and incidentally discovered in cases of acute pelvic pain( Fig. 3 , Fig. 4 ).In these cases, radiologists often do not know whether follow-up is clinically indicated. In Fig. 5 we attach the recommendations of theSociety of Radiologists in...

1.Gynecological pathology must be present in the differential diagnosis of acute pelvic pain in women. 2.The differential diagnosis of pelvic pain is most logically divided by the age and pregnancy status of the patient. 3.Ultrasound is the main method of diagnostic evaluation, but it has limitations. CT is relegated to doubtful cases and to assess the extent of the process or possible complications. 4.Images need to be correlated with the patient’s clinical history and laboratory values ( Fig. 31 , Fig. 32 ). 5.Familiarity with...

I. M. González Moreno; Murcia/ES - nothing to disclose A. Moreno Pastor; Espinardo (Murcia)/ES - nothing to disclose M. Lozano Ros; Murcia/ES - nothing to disclose I. García Tuells; Murcia/ES - nothing to disclose A. Blanco Barrio; Murcia/ES - nothing to disclose J. Gayán Belmonte; Murcia/ES - nothing to disclose

1.Kruszka PS, Kruszka SJ. Evaluation of acute pelvic pain in women. Am Fam Physician. 2010;15;82:141-7. 2.Potter AW, Chandrasekhar CA. US and CT evaluation of acute pelvic pain of gynecologic origin in nonpregnant premenopausal patients. Radiographics. 2008;28:1645-59. 3.Levine D, Brown DL, Andreotti RF, Benacerraf B, Benson CB, Brewster WR et al. Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement. Radiology. 2010;256:943-54. 4.Jain KA. Gynecologic Causes of Acute Pelvic Pain: Ultrasound Imaging. Ultrasound Clinics. 2008;;3:1-12.. 5.Katz...