Is There Any Benefit to Obtaining a Pelvic Ultrasound After a Negative CT of the Abdomen/Pelvis in a Woman with Chronic Abdominal Pain?
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The adult female patient with chronic pelvic pain, defined as noncyclic pain of greater than 6 months’ duration, presents unique diagnostic challenges. Etiology may be gynecologic, gastrointestinal, urologic, or neuropathic in origin. CT (computerized tomography) is frequently performed in the evaluation of pelvic pain, but may not be the ideal investigative modality, and important findings may be missed. Pelvic ultrasonography often yields important diagnoses in the woman with chronic pelvic pain. Endometriosis, uterine leiomyomatosis and adenomyosis, pelvic congestion syndrome, and polycystic ovary syndrome are conditions diagnosed in a significant proportion of patients with chronic pelvic pain; chronic ovarian torsion is a rare but critical entity to consider.
KeywordsChronic pelvic pain Ultrasonography Duplex ultrasound