2013
DOI: 10.1016/j.crad.2013.05.101
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Utility of pelvic ultrasound following negative abdominal and pelvic CT in the emergency room

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Cited by 16 publications
(21 citation statements)
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“…As with abdominal CT and ultrasound, the recommendation for an initial pelvic ultrasound when evaluating female pelvic pain also stems from the reduced cost, absence of radiation exposure, and superior anatomic visualization of the pelvic organs when compared with pelvic CT. 2,13 However, as with the results of studies investigating the use of abdominal ultrasound after negative CT, a study of pelvic ultrasound after a negative CT revealed that only 4/126 (3.2%) follow-up ultrasounds had an abnormal finding not identified on CT. 13 Pelvic ultrasound found four endometrial abnormalities that did not alter acute management. 13 Notably, in 58% of the cases, the indication for ordering the subsequent ultrasound was "rule out ovarian torsion." However, CT almost always finds a morphologically abnormal ovary in the case of torsion.…”
Section: Why Ordering An Ultrasound After a Negative Ct Is Unnecessarymentioning
confidence: 92%
See 2 more Smart Citations
“…As with abdominal CT and ultrasound, the recommendation for an initial pelvic ultrasound when evaluating female pelvic pain also stems from the reduced cost, absence of radiation exposure, and superior anatomic visualization of the pelvic organs when compared with pelvic CT. 2,13 However, as with the results of studies investigating the use of abdominal ultrasound after negative CT, a study of pelvic ultrasound after a negative CT revealed that only 4/126 (3.2%) follow-up ultrasounds had an abnormal finding not identified on CT. 13 Pelvic ultrasound found four endometrial abnormalities that did not alter acute management. 13 Notably, in 58% of the cases, the indication for ordering the subsequent ultrasound was "rule out ovarian torsion." However, CT almost always finds a morphologically abnormal ovary in the case of torsion.…”
Section: Why Ordering An Ultrasound After a Negative Ct Is Unnecessarymentioning
confidence: 92%
“…However, as with the results of studies investigating the use of abdominal ultrasound after negative CT, a study of pelvic ultrasound after a negative CT revealed that only 4/126 (3.2%) follow‐up ultrasounds had an abnormal finding not identified on CT 13 . Pelvic ultrasound found four endometrial abnormalities that did not alter acute management 13 . Notably, in 58% of the cases, the indication for ordering the subsequent ultrasound was “rule out ovarian torsion.” However, CT almost always finds a morphologically abnormal ovary in the case of torsion 6 .…”
Section: Why Ordering An Ultrasound After a Negative Ct Is Unnecessarymentioning
confidence: 98%
See 1 more Smart Citation
“…Ultrasound is the initial imaging modality of choice for evaluation of lower abdominal or pelvic pain in females. 2,4 However, ultrasound is neither 100% sensitive nor specific for diagnosing adnexal torsion. 3,5 MRI is used especially as a problem-solving tool in sonographically inconclusive cases.…”
Section: Epidemiology Predisposing Conditions and Clinical Featuresmentioning
confidence: 99%
“…Very often, it may be the first imaging modality available to patients presenting with an unexpected diagnosis of ovarian torsion. 4 CT is also used as an adjunct if the ultrasound findings are inconclusive or if the lesion is not well depicted sonographically. 1 CT features of ovarian torsion include an enlarged ovary with or without an underlying mass or containing small peripheral hypoattenuating cystic structures around an oedematous ovarian stroma.…”
Section: Epidemiology Predisposing Conditions and Clinical Featuresmentioning
confidence: 99%