Open AccessPelvic tumors with normal-appearing shapes of ovaries and uterus presenting as an emergency (Review)
Author(s) -
Atsushi Imai,
Satoshi Ichigo,
Hiroshi Takagi,
Kazutoshi Matsunami,
Sadayoshi Watanabe,
Takayuki Murase,
Tsuneko Ikeda
Publication year - 2012
Publication title -
oncology letters
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.766
H-Index - 54
eISSN - 1792-1082
pISSN - 1792-1074
DOI - 10.3892/ol.2012.692
Subject(s) - exploratory laparotomy , medicine , pelvis , ectopic pregnancy , differential diagnosis , uterus , pelvic pain , radiology , endometriosis , laparotomy , malignancy , pelvic examination , ovary , adnexal mass , adnexal diseases , gynecology , surgery , pregnancy , laparoscopy , pathology , genetics , biology
Abdominal pain with an associated pelvic mass is a common problem in everyday practice. Concerns about ectopic pregnancy, torsion of an enlarged ovary or malignancy usually dominate the diagnostic evaluation. On physical and imaging examination, when a palpable painful mass is present in the pelvis and the two ovaries and uterus are detected in their normal anatomical locations, the content and origin of the lesions may be significant in narrowing the pre-operative differential diagnosis. Thus, the emergent pelvic indications discussed in this review should be considered. The causes of acute abdominal pain are few in number and therefore an accurate diagnosis may be most frequently made at the time of exploratory laparotomy.