Ultrasound Evaluation of Pelvic Pain

Amirbekian, Smbat; Hooley, Regina J.

doi:10.1016/j.rcl.2014.07.008

Cited by 41 publications

(20 citation statements)

References 67 publications

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“…As a result, the women are given repeated course of antibiotics and often labeled as neuro-psychotics [4]. Careful history taking, meticulous examination and relevant investigation are three cornerstones for evaluating a patient with CPP [5].Laparoscopy is an effective tool in the evaluation of women with CPP [6]. The aim of this research is studying role of TVS and diagnostic laparoscopy in chronic pelvic pain.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study

Rather¹

2015

IJCEMS

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Introduction: Chronic pelvic pain (CPP) is intermittent or constant pain in the lower abdomen or pelvis for at least six months duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy. This chronic pelvic pain (CPP) is poorly understood, and may have significant impact on a woman's health. Transvaginal sonography (TVS) and laparoscopy are useful in the evaluation of women with CPP. This research was designed to study role of TVS and diagnostic laparoscopy in chronic pelvic pain. Materials and Methods: This prospective study was done at Lalla Ded Hospital from August 2011 to July 2014. All female patients who had clinical diagnosis of CPP were evaluated with the TVS and laparoscopy and findings were recorded. Results: Total of 80 women had CPP. Normal TVS was present in 41 cases (51.25%). The remaining 39 (48.75%) had an abnormal scan. Laparoscopic confirmation of pelvic pathology was reported in 40 cases with abnormal scan but normal scan was confirmed only in 10 (12.50%) cases. Conclusion: In spite of similar specificity and positive predictive value, laparoscopy although being an invasive procedure still has got distinct advantages over TVS in terms of sensitivity and negative predictive value indicating its superiority in management.

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Section: Introductionmentioning

confidence: 99%

A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study

Rather¹

2015

IJCEMS

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“…An inflamed periurethral cyst or bladder diverticulum is characterized by a cystic lesion with internal echogenicity, a ring‐down artifact, and peripheral vascularity. A bladder neoplasm may also be identified on transvaginal sonography as focal wall thickening or as a polypoid mass; however, these findings are nonspecific 2 , 3 , 11 …”

Section: Urinary Tractmentioning

confidence: 99%

“…A bladder neoplasm may also be identified on transvaginal sonography as focal wall thickening or as a polypoid mass; however, these findings are nonspecific. 2,3,11…”

Section: Urinary Tractmentioning

confidence: 99%

“…Transabdominal sonography has the advantage of a larger field of view. In many cases, transabdominal sonography is used in conjunction with transvaginal sonography in the evaluation of acute pelvic pain 1 , 3 …”

mentioning

confidence: 99%

“…In many cases, transabdominal sonography is used in conjunction with transvaginal sonography in the evaluation of acute pelvic pain. 1,3 This article describes and demonstrates 10 nongynecologic or atypical disorders discovered on a transvaginal sonography examination performed to evaluate acute pelvic pain in the emergency department setting. Furthermore, additional common nongynecologic causes of pelvic pain that may be visualized on a transvaginal sonographic examination are discussed, and the relevant literature is briefly reviewed.…”

mentioning

confidence: 99%

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Unexpected Findings During Evaluation of Acute Pelvic Pain With Transvaginal Sonography

Ohngemach

Esterson

Rahman

et al. 2016

J of Ultrasound Medicine

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Transvaginal sonography is the first-line imaging modality used to evaluate acute female pelvic pain in the emergency setting because of its accessibility, lack of ionizing radiation, and excellent ability to identify reproductive tract disorders. Although the intent of transvaginal sonography is to evaluate the reproductive organs, imaging of adjacent pelvic structures is an important part of every transvaginal sonographic examination. Gastrointestinal, urologic, and vascular disorders incidentally scanned on transvaginal sonography may explain the pain for which the examination is being performed. In such cases, transvaginal sonography may play an important role in the diagnostic process if the clinician is aware of the transvaginal sonographic appearance of these entities.

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The value of surveying the kidneys during pelvic ultrasound examinations

Brennan

Nečas

2019

Australas J Ultrason Med

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IntroductionPelvic ultrasounds are commonly performed for various clinical indications in female patients presenting to the hospital. A survey of the kidneys is routinely included as part of the examination, but there is limited justification for their inclusion in the assessment of every female presenting for a pelvic ultrasound.MethodWe examined the utility of surveying the kidney ultrasound during pelvic ultrasonography by reviewing the records of 1009 pelvic ultrasound examinations in 1000 women.ResultsIn total, 46 incidental findings were identified, but 91% of these were clinically inconsequential. Only four patients had incidental findings of high clinical priority requiring specialist treatment. Of these, two patients were symptomatic and had urinary tract obstruction due to stones. The other two patients harboured asymptomatic renal cell carcinomas. The overall incidence of renal incidental findings of high clinical priority in asymptomatic patients was two in 1009 examinations (1999 kidneys).ConclusionIndiscriminate uncritical screening of the kidneys in women presenting for pelvic ultrasound is not evidence‐based and represents a low‐yield examination with extremely low rate of incidental findings of clinical significance.

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Ultrasound Evaluation of Pelvic Pain

Cited by 41 publications

References 67 publications

A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study

A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study

Unexpected Findings During Evaluation of Acute Pelvic Pain With Transvaginal Sonography

The value of surveying the kidneys during pelvic ultrasound examinations

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