Chronic Pelvic Pain: Role of Imaging in the Diagnosis and Management

IF 1.5 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Seminars in Ultrasound Ct and Mri Pub Date : 2023-10-23 DOI:10.1053/j.sult.2023.10.006
Raj Mohan Paspulati MD, FSAR
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Abstract

Chronic pelvic pain (CPP) in women is not uncommon, and it may be difficult to identify the exact cause difficult to manage. It is major health problem for women that affects the quality of their daily lives. The etiology of chronic pelvic pain may be of gynecological or non-gynecological origin and associated with several predisposing and precipitating factors. Psychological and social factors also contribute to the syndrome of CPP and must be evaluated before managing these patients. Due to multifactorial etiology, CPP needs a multidisciplinary approach for diagnosis and management. A detailed history and physical examination supported by appropriate laboratory tests and imaging are the keys to diagnosis. In this paper, the role of imaging in diagnosis and management of CPP is reviewed. Imaging findings should be correlated with detailed clinical examination findings as there are imaging findings that may be unrelated and not the cause of CPP in a particular patient, imaging findings should be correlated with the clinical circumstances.

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慢性盆腔疼痛:影像学在诊断和治疗中的作用。
女性慢性骨盆疼痛(CPP)并不罕见,可能很难确定确切的原因,也很难控制。这是影响妇女日常生活质量的主要健康问题。慢性盆腔疼痛的病因可能是妇科或非妇科原因,并与几种诱发因素有关。心理和社会因素也会导致CPP综合征,在治疗这些患者之前必须进行评估。由于多因素病因,CPP需要多学科的诊断和管理方法。详细的病史和身体检查以及适当的实验室测试和成像是诊断的关键。本文综述了影像学在CPP诊断和治疗中的作用。影像学检查结果应与详细的临床检查结果相关联,因为在特定患者中,有可能不相关的影像学检查发现,而不是CPP的原因,因此影像学检查应与临床情况相关联。
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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
49
审稿时长
6-12 weeks
期刊介绍: Seminars in Ultrasound, CT and MRI is directed to all physicians involved in the performance and interpretation of ultrasound, computed tomography, and magnetic resonance imaging procedures. It is a timely source for the publication of new concepts and research findings directly applicable to day-to-day clinical practice. The articles describe the performance of various procedures together with the authors'' approach to problems of interpretation.
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