The main objective of the study was to examine acute pelvic pains among patients in the Effia-Nkwanta and European hospitals in Takoradi. Descriptive survey was employed for the study. The population of the study comprises all patients who were undergoing pelvic ultrasound at Effia-Nkwanta and European hospitals in Takoradi as part of their management plan for pelvic disease or pain. A purposive sampling technique convenience sampling were used to select 400 patients for the study. Inventory was used as the main instrument for the study for acquisition of data. The study employed the collection of previous pelvic ultrasound reports and reports obtained during the time of the study to obtain the data from the Radiologic Department at select hospitals with the SAL-30 A (Toshiba, Japan) and Philips Clear Vue real time ultrasound machines. Ethical clearance was sought from the UCCIR and research protocol review committee of the imaging board of the allied health sciences of Klintaps University College. Frequencies and percentages were used to analyze data on the research questions. The study found out that females are prone to pelvic pain than males, the most common presenting pathologies that cause pelvic pain are uterine fibroid, PID, Ectopic pregnancy, follicular cyst, BPH, Cystitis, colitis and Appendicitis and the organs that are mostly affected in cases of pelvic pain are uterus, ovaries, prostate, colon and bladder. It was therefore recommended that patients should be educated and encouraged to report to the hospital when there is any sign or symptom of pelvic pain.