ROLE OF ULTRASONOGRAPHY IN EVALUATION OF ACUTE PELVIC PAIN IN FEMALES

Abstract

Background: Pelvic pain in pregnant as well as non-pregnant females often represents a difcult challenge due to the variety of causes characterized by overlapping clinical symptoms, including gynaecological and non-gynaecological causes. Ultrasound (USG) is one of the best tools for the evaluating the female pelvis. It is very helpful in acute conditions to rule out different lower abdominal pathologies and is key to further management and appropriate treatment. Objectives: To assess the role of USG in acute pelvic pain & evaluate the common aetiologies of acute pelvic pain in females. This prospective observational study was conducted in the Department of Radi Material And Methods: o-diagnosis and Imaging in a tertiary care hospital in Jammu over a period of 6 months (May 2022 to October 2022). Female patients presenting with acute pelvic pain were included in our study. USG examination was performed using Samsung Sonoace R7 machine. Data obtained was compiled and analysed using standard statistical analysis. Results: In our study, the age range of the patients was 21-60 years and most common age group was 21-30 years. On USG, commonest cause of Acute Pelvic pain was ovarian cysts (48%). Ectopic pregnancy was seen in 16% cases while pelvic inammatory disease was seen in 10% cases. Uterine leiomyomas were the cause of acute pelvic pain in 8% of cases. Non-gynaecological causes included appendicular abscess, cystitis and ureteric calculus and were seen in 6% cases. In 12% cases, no diagnosis was made on USG. Conclusions: USG is a commonly used modality in evaluation of acute pelvic pain in females. It is very useful in emergency as it helps in quick evaluation and decision making for operative or medical treatment planning and can help in timely diagnosis without further imaging tests.