Journal
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
Volume 23, Issue 5, Pages 577-593Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.bpobgyn.2009.02.005
Keywords
ultrasonography; emergencies; pain
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Funding
- Malmo General Hospital Cancer Foundation
- Malmo Health Care Administration
- Faculty of Medicine of Lund University
- Swedish Medical Research Council [B96-17X-11605-01A, K98-17X-11605-03A, K2001 - 72X - 11605 - 06A, K2002-72X-11605-07B, K2006-73X-11605-11-3]
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This article summarises the ultrasound features of a number of gynaecological emergencies: ectopic pregnancy, haemorrhagic corpus luteum, twisted adnexa, pelvic inflammatory disease, acute myoma necrosis, haematocolpos and haematometra. The basis of all diagnosis in women with acute gynaecological conditions is history and clinical examination. An ultrasound examination should only be performed if it is likely to provide information that would change the likelihood of the diagnosis suspected on the basis of clinical data. If ultrasound findings are abnormal, then it is important to thoroughly evaluate if they do explain the woman's symptoms or if they are merely an incidental finding. If ultrasound findings are completely normal, then the risk of significant pelvic pathology is probably small. (C) 2009 Elsevier Ltd. All rights reserved.
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