Gynaecological Causes of Pelvic Pain

  • Gurdeep S. Mann
  • Angela T. Byrne
  • Anne S. Garden
Part of the Medical Radiology book series (MEDRAD)


Pelvic pain in girls is a common clinical complaint in childhood and throughout adolescence and an important cause of morbidity particularly in the postmenarchal female. Clinical evaluation in these patients is challenging. Abdominopelvic pain in the absence of a history of cyclical pain related to the menstrual cycle is a very non-specific symptom, with a range of gynaecological and non-gynaecological causes. Non-gynaecological aetiologies of pain include gastrointestinal, urological, musculoskeletal and psychosomatic disorders. Gynaecological causes of pelvic pain include complications related to ovarian cysts (cyst rupture, haemorrhage or torsion), torsion of adnexal masses or normal ovaries, and fallopian tube pathology including torsion and pelvic inflammatory disease. Other causes of pain more specific to reproductively mature adolescents include ovulatory Mittelschmerz (mid-cycle) pain, endometriosis and complications of pregnancy. Exclusion of pregnancy in this age group is an important initial step in clinical management. This chapter concentrates on the imaging of the common and important causes of acute abdominal or pelvic pain with a gynaecologic aetiology. A brief discussion of the ultrasound imaging of pregnancy is included. The role of imaging in gynaecologic conditions resulting in chronic pelvic pain syndromes is also considered.


Fallopian Tube Ectopic Pregnancy Ovarian Cyst Pelvic Inflammatory Disease Chronic Pelvic Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Pelvic inflammatory disease


Computed tomography


Magnetic resonance imaging




Short-tau inversion recovery


Haemorrhagic ovarian cyst


Peritoneal inclusion cyst


Beta human chorionic gonadotropin


Hounsfield unit


Signal intensity


Alpha fetoprotein




Turbo spin echo


Half fourier acquisition single shot turbo spin echo


Spectral adiabatic inversion recovery


Adnexal volume ratio


Positive predictive value


Negative predictive value




Apparent diffusion coefficient


Diffusion-weighted imaging


Massive ovarian oedema


Peritoneal inclusion cyst


Isolated fallopian tube torsion


Erythrocyte sedimentation rate


Tubo-ovarian abscess


International units


Gestational trophoblastic disease


Partial hydatiform mole


Complete hydatiform mole


Placental site trophoblastic tumour


Epitheliod trophoblastic tumour


International federation of gynaecology


American fertility society




Junctional zone


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Copyright information

© Springer-Verlag Berlin Heidelberg  2011

Authors and Affiliations

  • Gurdeep S. Mann
    • 1
    • 2
  • Angela T. Byrne
    • 3
  • Anne S. Garden
    • 4
    • 5
    • 6
  1. 1.Department of RadiologyAlder Hey Children’s Hospital NHS Foundation TrustLiverpoolUK
  2. 2.Department of RadiologyLiverpool Women’s Hospital NHS Foundation TrustLiverpoolUK
  3. 3.Department of Radiology, British Columbia Children’s HospitalUniversity of British ColumbiaVancouverCanada
  4. 4.Division of Medicine, School of Health and MedicineLancaster UniversityLancasterUK
  5. 5.University Hospitals of Morecambe Bay NHS TrustKendalUK
  6. 6.Alder Hey Children’s Hospital NHS Foundation TrustLiverpoolUK

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