Magnetic Resonance Imaging of Acute Adnexal Pathology

Erica B Stein; Kimberly L Shampain

doi:10.1016/j.mric.2022.04.001

Magnetic Resonance Imaging of Acute Adnexal Pathology

Magn Reson Imaging Clin N Am. 2023 Feb;31(1):109-120. doi: 10.1016/j.mric.2022.04.001.

Authors

Erica B Stein¹, Kimberly L Shampain²

Affiliations

¹ University of Michigan, Department of Radiology, 1500 East Medical Center Drive B1 D502, Ann Arbor, MI 48109, USA. Electronic address: erst@med.umich.edu.
² University of Michigan, Department of Radiology, 1500 East Medical Center Drive B1 D502, Ann Arbor, MI 48109, USA.

PMID: 36368855
DOI: 10.1016/j.mric.2022.04.001

Abstract

Acute pelvic pain is a common presenting symptom in women, but the etiology is often not readily apparent. The differential diagnosis varies greatly for pre versus postmenopausal and pregnant versus nonpregnant women. In addition to physical examination and laboratory evaluation, imaging plays an important role in narrowing the differential diagnosis. Pelvic ultrasound (US) is the first-line imaging modality, but occasionally pelvic magnetic resonance imaging (MRI) is used for problem-solving in the acute setting. The aim of this article is to educate radiologists on the appearance of acute adnexal pathologies that can be definitively diagnosed at MRI.

Keywords: Adnexa; Ovary; Pelvic pain; Torsion.

Publication types

Review

MeSH terms

Adnexa Uteri*
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging* / methods
Pelvic Pain
Pregnancy
Ultrasonography