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Gynecologic Causes of Acute Pelvic Pain: Spectrum of CT Findings¹

¹ From the Department of Radiology, New York University Medical Center, 560 First Ave, Tisch Hospital Rm HW202, New York, NY 10016. Received November 27, 2001; revision requested January 28, 2002 and received March 4; accepted March 11. Address correspondence to G.L.B. (e-mail: genevieve.bennett@med.nyu.edu.)

Although ultrasound (US) is the primary imaging modality of choice in the radiologic evaluation of the female patient with acute pelvic pain, the role of computed tomography (CT) in the evaluation of abdominal and pelvic pain continues to expand. CT may be performed if a gynecologic disorder is not initially suspected, if US findings are equivocal, or if the abnormality extends beyond the field of view achievable with the endovaginal probe and further characterization of pelvic disease is required. Many gynecologic disorders that cause acute pelvic pain (eg, uterine disorders, ovarian disorders, endometriosis, pelvic inflammatory disease, postoperative or postpartum complications) demonstrate characteristic CT findings. Familiarity with these CT appearances is important: It will allow the radiologist to guide appropriate treatment of affected patients and may eliminate the need for further imaging evaluation.

© RSNA, 2002

Index Terms: Endometriosis, 85.3192 • Leiomyoma, 854.318 • Ovary, cysts, 852.3117 • Ovary, torsion • Pelvic organs, abscess, 85.211 • Pelvic organs, CT, 85.1211 • Pelvic organs, diseases, 85.211, 85.217, 85.3192 • Pelvic organs, inflammation, 85.217

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