Chronic pelvic pain
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Chronic pelvic pain is a common presenting symptom to primary care physicians and to radiologists. Pelvic ultrasound with transabdominal and endovaginal approaches are usually the first line imaging modality. MRI may be performed afterwardsas an adjunct test.
Clinical presentation
- non-cyclic pain
- pain of >6 months duration
Patients present with symptoms severe enough to cause functional disability.
Differential diagnosis
- endometriosis: premenopausal and perimenopausal women
- adenomyosis: premenopausal and perimenopausal women
- uterine leiomyoma (fibroid)
- pelvic congestion syndrome
- peritoneal inclusion cysts
-
periurethral cysts /
periurethraldiverticula - interstitial cystitis
-
Alcock's canal syndromepudendal neuralgia3
-<p><strong>Chronic pelvic pain</strong> is a common presenting symptom to primary care physicians and to radiologists. Pelvic ultrasound with transabdominal and endovaginal approaches are usually the first line imaging modality. MRI may be performed afterwards.</p><h4>Clinical presentation</h4><ul>- +<p><strong>Chronic pelvic pain</strong> is a common presenting symptom to primary care physicians and radiologists. <a title="Pelvic ultrasound" href="/articles/pelvic-ultrasound">Pelvic ultrasound</a> with transabdominal and endovaginal approaches are usually the first line imaging modality. MRI may be performed as an adjunct test.</p><h4>Clinical presentation</h4><ul>
-<a href="/articles/periurethral-cystic-lesions-1">periurethral cysts</a> / <a href="/articles/urethral-diverticulum">periurethral diverticula</a>- +<a href="/articles/periurethral-cystic-lesions-1">periurethral cysts</a> / <a href="/articles/urethral-diverticulum">diverticula</a>
-<li>Alcock's canal syndrome</li>- +<li>
- +<a title="Pudendal neuralgia" href="/articles/pudendal-neuralgia">pudendal neuralgia</a> <sup>3</sup>
- +</li>
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