Transvaginal ultra sound imaging aids as a noninvasive modality to diagnose most of the adnexal pathologies presenting with acute abdomen. An observational study is done to determine the accuracy of ultrasound imaging in the evaluation and characterization of adnexal masses presenting as acute abdomen by correlating the results with histopathological diagnosis. Of the total of 67 patients in the study population, 28 patients presented with acute abdomen. The ultrasound imaging was diagnostic in 7 (25%) cases and contributory to diagnosis in 21(75%) cases.

Background: Abdominal pain is one of the most common presentations of adnexal pathology in gynecology. Early diagnosis and intervention is necessary in adolescent girls and reproductive age group women to conserve reproductive function.

Aim: This study is done to determine the accuracy of ultrasound imaging in the evaluation and characterization of adnexal masses presenting as acute abdomen by correlating the results with  histopathological diagnosis. Transvaginal Ultrasound imaging aids as a noninvasive modality to diagnose most of the adnexal pathologies presenting with acute abdominal pain.

Keywords: Adnexal, acute, torsion, hemorrhage, Rupture, diagnostic, contributory.

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Prof Dr Lavanyakumari

Professor and Head, Department of Obstetrics and Gyneacology, RMMCH, Annamalai University, Chidambaram - 608 002, Tamil Nadu, India

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