International Journal of Clinical Research

Objective The analysis of the characteristics of ultrasound and the value of ultrasound diagnosis and differential diagnosis. Methods A retrospective study of 58 patients with gynecological acute abdomen was conducted to comprehensively analyze the characteristics of their ultrasound sonograms. By comparing the ultrasound diagnosis with surgical pathological results, the study aimed to evaluate the diagnostic accuracy of ultrasound in such cases. Furthermore, it delved into the reasons for misdiagnosis, considering factors such as incomplete medical histories, atypical symptoms and sonographic appearances, as well as patients failure to provide accurate and complete medical histories. Results Among 58 patients with gynecological acute abdomen, including 48 cases of ectopic pregnancy, 5 cases of ovarian corpus luteal rupture, and 5 cases of ovarian cyst torsion, the ultrasound diagnostic coincidence rate was 83%. The primary reasons for misdiagnosis included unknown menstrual histories, which hindered accurate differential diagnosis, atypical symptoms that confused clinicians, and misleading audiogram and laboratory examination results. Additionally, some patients failed to provide true and effective medical histories, further complicating the diagnostic process. Conclusion Ultrasound has a high diagnostic value for gynecological acute abdomen. However, due to the many similarities in audiogram presentations, clinicians must also consider a patients medical history, symptoms, physical signs, and laboratory examination results to make an accurate diagnosis. This comprehensive approach is crucial in selecting the appropriate treatment plan, ensuring effective care tailored to the patients specific condition.

Ultrasound sonogram; Acute abdomen; Ectopic pregnancy; Ovarian luteal rupture; Torsion of ovarian cyst