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Pelvic Ultrasonography Follow-up

  • Author: Shoreh Kooshesh, MD; Chief Editor: Gowthaman Gunabushanam, MD, FRCR  more...
Updated: Mar 20, 2016

Further Outpatient Care

Perform further outpatient evaluation and repeat pelvic ultrasonography in cases of ovarian cysts and fibroids.

All pregnant patients with no sonographic evidence of an intrauterine pregnancy and no periovarian/ovarian abnormalities should be monitored with serial beta-HCG levels every 48 hours and repeat ultrasound with urgent obstetric/gynecologic consultation.

Patients with solid pelvic masses should follow up with a gynecologist.


Patient Education

Inform patients that the ultrasonographic examination performed by the emergency physician is for screening of potential life-threatening situations or difficult diagnoses.

If an abnormal ultrasonographic finding is noted, subsequent ultrasonographic examination by the radiology department may be needed for detailed diagnosis.

Contributor Information and Disclosures

Shoreh Kooshesh, MD Resident Physician, Division of Emergency Medicine, Stanford University School of Medicine

Shoreh Kooshesh, MD is a member of the following medical societies: American College of Emergency Physicians, American Medical Student Association/Foundation, American Medical Womens Association, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.


Laleh Gharahbaghian, MD Director, Emergency Ultrasound Program and Fellowship, Clinical Associate Professor, Department of Surgery, Division of Emergency Medicine, Stanford University Medical Center

Laleh Gharahbaghian, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Mark Zwanger, MD, MBA Assistant Professor, Department of Emergency Medicine, Jefferson Medical College of Thomas Jefferson University

Mark Zwanger, MD, MBA is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Chief Editor

Gowthaman Gunabushanam, MD, FRCR Assistant Professor, Department of Diagnostic Radiology, Yale University School of Medicine

Gowthaman Gunabushanam, MD, FRCR is a member of the following medical societies: American Roentgen Ray Society, Connecticut State Medical Society

Disclosure: Nothing to disclose.

Additional Contributors

James Quan-Yu Hwang, MD RDMS, RDCS, FACEP, Staff Physician, Emergency Department, Kaiser Permanente

James Quan-Yu Hwang, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Institute of Ultrasound in Medicine, Society for Academic Emergency Medicine

Disclosure: Received salary from 3rd Rock Ultrasound, LLC for speaking and teaching; Received consulting fee from Schlesinger Associates for consulting; Received consulting fee from Philips Ultrasound for consulting.


The authors and editors of Medscape Reference gratefully acknowledge the contributions of previous authors Verena T Valley, MD, and Christopher A Fly, MD, to the development and writing of this article.

Medscape Reference thanks Meghan Kelly Herbst, MD, Emergency Ultrasound Director, Department of Emergency Medicine, Hartford Hospital, for assistance with the video contribution to this article. Medscape Reference also thanks Yale School of Medicine, Emergency Medicine for assistance with the video contribution to this article.

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Transabdominal longitudinal view of the female pelvis.
Transabdominal transverse view of the female pelvis: The bladder is rectangular. The ovaries are seen bilaterally in the adnexa.
Endovaginal longitudinal view of the uterus: The endometrial stripe (st) is thickened. The arcuate vessels (arc) can be seen within the uterus and should not be confused with free fluid in the cul-de-sac.
Endovaginal view of the ovary: Note its location adjacent to an iliac vessel.
Endovaginal ultrasound scan. Endometritis with air in the endometrial cavity and bilateral tubo-ovarian abscesses are shown.
Video depicts 2 findings: first, it shows an enlarged hypovascular left ovary; second, it shows flow in the healthy right ovary. A small amount of intraperitoneal fluid surrounds the left ovary.
Demonstration of a transvaginal ultrasonographic pelvic evaluation. Video courtesy of Meghan Kelly Herbst, MD. Also courtesy of Yale School of Medicine, Emergency Medicine.
Cine loop depicting transvaginal ultrasonography with free fluid in the uterus and right ovary. Video courtesy of Meghan Kelly Herbst, MD. Also courtesy of Yale School of Medicine, Emergency Medicine.
Cine loop of transvaginal ultrasonography showing free fluid in the uterus. Video courtesy of Meghan Kelly Herbst, MD. Also courtesy of Yale School of Medicine, Emergency Medicine.
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