Gynecologic Causes of Acute Pelvic Pain: Ultrasound Imaging

Acute pelvic pain in women may be the manifestation of various gynecologic conditions that can range from less alarming rupture of the hemorrhagic cyst to life-threatening conditions such as rupture of ectopic pregnancy. Ultrasound is the primary imaging modality of choice in the evaluation of the premenopausal woman patient presenting with acute pelvic pain. This article discusses ultrasound imaging in the spectrum of various acute gynecologic conditions originating from uterus, ovaries, pelvic inflammatory disease, and ectopic pregnancy.