Lauren Pringle MD, Abstract Co-Author: Nothing to Disclose

Stephanie Frances Coquia MD, Abstract Co-Author: Nothing to Disclose

Pamela Tecce Johnson MD, Abstract Co-Author: Research funded, Becton, Dickinson and Company

Elliot K. Fishman MD, Abstract Co-Author: Research support, Siemens AG Advisory Board, Siemens AG Research support, General Electric Company Advisory Board, General Electric Company Co-founder, HipGraphics, Inc

Sheila Sheth MD, Presenter: Consultant, Star Scientific, Inc

1. Recognize CT appearances of gynecological conditions presenting with acute pelvic pain. 2. Formulate appropriate diagnosis or differential diagnosis, minimizing need for additional imaging studies whenever possible 3. Provide gudelines to regarding further management.

Background: increasing use of CT as first imaging modality in woman with negative pregnancy test presenting with acute abdominal pelvic pain in the emergency department. CT technique including importance of multiplanar reconstruction CT appearance of ovarian cysts and their complications such as acute hemoperitoneum Acute presentation of endometriosis Pelvic inflammatory disease and its mimics Ovarian torsion with emphasis on specific findings such as abnormal position of the enlarged adnexa and visualization of the engorged adnexal pedicle. Acute presentation of ovarian tumors including torsion, rupture and acute abdominal distention Ovarian vein thrombosis Uterine disorders presenting primarily with acute pain such as acute degeneration of myoma and acute uterine obstruction

http://abstract.rsna.org/uploads/2014/14006007/14006007_xbow.pdf

Pringle, L, Coquia, S, Johnson, P, Fishman, E, Sheth, S, CT in the Diagnosis of Acute Gynecological Disorders: Pearls and Pitfalls.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14006007.html