Acute Pelvic Pain in Premenapausal Women, Children and Infants: Evidence-Based Emergency Imaging

  • Aine Marie Kelly
  • Jennifer L. Cullmann
  • Stefan Puig
  • Kimberly E. Applegate
Part of the Evidence-Based Imaging book series (Evidence-Based Imag.)


Acute lower abdominal and pelvic pain in premenopausal women has a wide range of etiologies including gastrointestinal, urological, obstetrical, and gynecological causes. Specifically, in younger patients, it is difficult to localize the pain during both history and physical examination, making it a diagnostic challenge. Life- and/or fertility-threatening conditions are the first to be considered until they can be confidentially excluded. History, physical examination, and laboratory testing narrow the differential diagnosis and guide the physician to choose the proper imaging test. Ultrasound is the recommended initial imaging tool for pregnant and nonpregnant women and girls presenting with acute pelvic pain and in which a gynecological etiology is suspected.


Acute pelvic pain Ectopic pregnancy Pelvic inflammatory disease Ruptured ovarian cyst Adnexal/ovarian torsion Endometriosis Ultrasound Evidence-based imaging Emergency imaging 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Aine Marie Kelly
    • 1
  • Jennifer L. Cullmann
    • 2
  • Stefan Puig
    • 2
    • 3
  • Kimberly E. Applegate
    • 4
  1. 1.Department of Radiology, Division of Cardio-Thoracic RadiologyMichigan MedicineAnn ArborUSA
  2. 2.Department of Diagnostic, Interventional, and Pediatric Radiology, InselspitalUniversity Hospital Bern, University of BernBernSwitzerland
  3. 3.Department of Radiology and NeuroradiologyKlinik im Park, Hirslanden AGZurichSwitzerland
  4. 4.Department of RadiologyUniversity of Kentucky Children’s HospitalLexingtonUSA

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