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Related Experiment Video

Updated: Jan 26, 2026

Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
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Acute Pelvic Pain.

Kayla Dewey1, Cory Wittrock2

  • 1Department of Emergency Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA.

Emergency Medicine Clinics of North America
|April 4, 2019
PubMed
Summary

Emergency physicians face challenges diagnosing acute pelvic pain causes. Identifying gynecologic emergencies like ovarian cysts and pelvic inflammatory disease is crucial, even with ultrasound limitations.

Keywords:
Nongynecologic painOvarian cystOvarian torsionPelvic inflammatory diseasePelvic pain

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Area of Science:

  • Emergency Medicine
  • Gynecology
  • Diagnostic Imaging

Background:

  • Acute pelvic pain presents a diagnostic challenge in emergency settings.
  • Differentiating gynecologic from nongynecologic causes is critical for timely intervention.
  • Common gynecologic emergencies include ovarian cysts, pelvic inflammatory disease, and adnexal torsion.

Purpose of the Study:

  • To highlight the diagnostic difficulties in acute pelvic pain.
  • To emphasize the importance of identifying key gynecologic emergencies.
  • To discuss the role and limitations of ultrasound in assessing pelvic pathology.

Main Methods:

  • Review of common gynecologic and nongynecologic causes of acute pelvic pain.
  • Discussion of diagnostic modalities, particularly ultrasound with Doppler.
  • Consideration of clinical presentation and risk factors for surgical intervention.

Main Results:

  • Ultrasound has limitations in diagnosing pelvic conditions, including adnexal torsion.
  • Adnexal torsion may be present despite normal ultrasound findings.
  • Significant pain or risk factors may necessitate exploratory laparotomy.

Conclusions:

  • Emergency physicians must be adept at managing diverse pelvic emergencies.
  • Preparedness for both gynecologic and nongynecologic pelvic conditions is essential.
  • Clinical judgment remains paramount when diagnostic imaging is inconclusive.