SONOGRAPHIC EVALUATION OF ACUTE PELVIC PAIN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 46
Abstract
BACKGROUND Acute pelvic pain can result from the gastrointestinal, gynaecological and/or urological systems. Ultrasound can be used as an initial imaging modality in the evaluation of acute pelvic pain. OBJECTIVE To evaluate the use of ultrasonography in acute pelvic pain, characterise the most common aetiologies and study the age and sex incidence in patients of acute pelvic pain. MATERIALS AND METHODS The study was conducted on hundred patients in the Department of Radiodiagnosis and Imaging, Government Medical College, Amritsar, from August 2013 to October 2015. Patients presenting with acute pelvic pain from various emergency, outpatient and indoor departments were included in the study. Based on sonographic findings provisional diagnosis was made, which was confirmed by operative findings/therapeutic response/FNAC findings/Histopathological/Laboratory findings. All pregnant patients and trauma cases were excluded from the study. RESULTS The age incidence of the cases in this study varied between 4 years to 56 years. The mean age of the patients in the study was 31 years; 23% cases were males and 77% cases were females in this study with the male-to-female ratio of 1:3.34. The appendix is most commonly involved in acute pelvic pain and is seen in 38% cases followed by Adnexal lesions in 36% cases, urinary system in 15% cases, small bowel in 8% cases, lymph nodes in 3% of cases. In Adnexal pathologies of acute pelvic pain, haemorrhagic ovarian cysts are most common, constituting 50% of Adnexal lesions in acute pelvic pain followed by PID in 41.7% and ovarian torsion in 8.3% of Adnexal lesions; 15% of pathologies related to urinary system, 8% with small bowel obstruction and 3% patients with mesenteric adenitis. CONCLUSIONS Ultrasound is a very good modality for acute pelvic pain, as it can easily diagnose and characterise the causes of pelvic pain. The wide availability, radiation free and cost effectiveness makes it a first line investigation in acute pelvic pain.
Authors and Affiliations
Kamlesh , Neelam , Arvinder , Ramesh , Vikas
Keywords
Related Articles
- EP ID EP133688
- DOI 10.14260/jemds/2016/679
- Views 97
- Downloads 0
A RARE CASE OF DELAYED PRESENTATION OF CAECAL AND ASCENDING COLON PERFORATION FOLLOWING BLUNT TRAUMA ABDOMEN
PRESENTATION OF CASE A twenty-year-old male patient presented in surgical emergency with history of blunt trauma to abdomen two weeks ago. The patient’s only complaint was a vague abdominal pain after trauma, and he di...
A COMPARATIVE STUDY OF DISABILITY AND ITS BURDEN ON FAMILY MEMBERS OF BIPOLAR AND UNIPOLAR DEPRESSION PATIENTS
AIMS AND OBJECTIVE The primary purpose of this study is to compare the disability and its burden on the family members or caregivers of patients with bipolar and unipolar depression. METHODOLOGY The study was...
STUDY OF COMPLICATIONS IN SURGICAL MANAGEMENT OF METACARPAL AND PHALANGEAL FRACTURES
BACKGROUND AND OBJECTIVES Hand fractures if not treated properly will result in deformity, stiffness and loss of function leading to functional deformity. Fracture healing in hand is not an isolated goal, rathe...
A COMPARATIVE STUDY OF ABO BLOOD GROUPS AND SECRETOR STATUS IN ISCHAEMIC HEART DISEASE PATIENTS IN KADAPA CITY
BACKGROUND Obesity, hypertension, diabetes mellitus, dyslipidaemia, smoking, stress, sedentary lifestyle and genetic factors are some wellknown risk factors for Ischaemic Heart Disease (IHD). The ABO blood groups and sec...
EFFECT OF TWO TYPES OF DIETARY GHEE ON SERUM LIPID LEVELS IN RATS
Ghee is also known as clarified butter, utilized for thousands of years in Ayurveda as a therapeutic agent. Ghee which is known as “Gritha” in Ayurveda, described as the best among lipid media due to its quality...