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Ovarian torsion, ectopic pregnancy, and retained products of conception are the most common gynecologic emergencies encountered routinely. Ultrasound is almost always the first line in imaging due to universal access and rapid image acquisition. However, increased use and availability of CT and MRI in the emergency setting make it such that the radiologist must recognize these common gynecologic emergencies on multiple modalities. Knowing a patient’s pregnancy status can help narrow the broad differential diagnostic considerations. It is also important to be aware of less common, though life-threatening causes of acute pelvic pain including uterine rupture, placental abruption, and uterine arteriovenous malformation. Accurate imaging diagnosis is imperative in appropriate patient management and may be critical in preserving fertility.
Current Radiology Reports – Springer Journals
Published: Oct 23, 2015
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