| This general examination also allows the accessibility of the adnexal masses and the pouch of Douglas to be evaluated. |
| The study involved 152 women who had lower abdominal pain for up to three weeks and abnormal adnexal tenderness on pelvic examination. |
| Ultrasound is an effective tool to evaluate adnexal masses and can be done serially with little risk to the fetus or mother. |
| The ADNEX model has clear potential to optimise management of women with an adnexal tumour. |
| The Canadian standard of care for any woman presenting with an adnexal mass suspicious for malignancy is staging with optimal debulking surgery at initial laparotomy. |
| The colon is the usual gastrointestinal source of pain in these regions but pain of ureteral, renal, adnexal, and rarely gastric origins may be felt there as well. |
