Prevalence of Female Pelvic Pathology: A Retrospective Study among Patients Undergoing Magnetic Resonance Imaging for Pelvic Assessment at Prince Mohammed bin Nasser in Jazan Region

Abstract

Introduction: Female pelvis contains urogenital and gastrointestinal organs, and disorders can affect women of all ages, presenting with various symptoms. MRI is a reliable diagnostic tool, offering superior imaging for pelvic pathologies, including tumors and adenomyosis, without radiation. This study aims to examine female pelvic disorders diagnosed via MRI in Jazan, Saudi Arabia.
Methodology: It is a retrospective study analyzes MRI pelvic findings among 86 adult female patients at Prince Mohammed bin Nasser Hospital (PMNH) from June 2020 to June 2023. Data was cleaned in Excel and analyzed by IBM SPSS 29.0.0.
Results: Our study included 86 patients, predominantly aged 41–50 years (n=26, 30.2%), with the majority having no comorbidities (n=84, 97.7%). Clinical presentations included lumps/masses (n=48, 55.8%), menstrual disturbances (n=39, 45.3%), and pelvic pain (n=32, 37.2%). MRI findings were abnormal in 93.0% (n=80), with benign pathologies such as adenomyosis (n=13, 15.1%). Malignancies were rare, with only 1 case of endometrial carcinoma (n=1, 1.2%). Ovarian pathologies included simple ovarian cysts (n=15, 17.4%) and endometriosis (n=7, 8.1%). Age and comorbidities showed no significant association with MRI findings (p=0.165 and p=1.000, respectively).
Conclusion: Our study underscores the importance of MRI in the accurate diagnosis of female pelvic pathologies, particularly in the identification of benign and malignant uterine and ovarian conditions. The findings are consistent with existing literature and support the usefulness of MRI as a crucial diagnostic tool in gynecology.