Research Article| Volume 282, P38-42, March 2023

Gynaecological pathologies leading to emergency department admissions: A cross-sectional study

  • Anjeza Xholli
    Corresponding author at: IRCCS Ospedale Policlinico San Martino, Academic Unit of Obstetrics and Gynaecology, Largo Rosanna Benzi, 10, 16132 Genova, Italy.
    Academic Unit of Obstetrics and Gynaecology, IRCCS Ospedale San Martino, Genoa, Italy

    Department of Neurology, Rehabilitation, Ophthalmology, Genetics, Maternal and Infant Health, University of Genoa, Genoa, Italy
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  • Ambrogio Pietro Londero
    Department of Neurology, Rehabilitation, Ophthalmology, Genetics, Maternal and Infant Health, University of Genoa, Genoa, Italy
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  • Ludovica Camacho Mattos
    Nuovo ospedale civile di Sassuolo, Sassuolo, Italy
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  • Sonja Vujosevic
    Department of Obstetrics and Gynaecology, Gynaecologic Oncology and Minimally-Invasive Pelvic Surgery, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona, Italy
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  • Angelo Cagnacci
    Academic Unit of Obstetrics and Gynaecology, IRCCS Ospedale San Martino, Genoa, Italy

    Department of Neurology, Rehabilitation, Ophthalmology, Genetics, Maternal and Infant Health, University of Genoa, Genoa, Italy
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Published:January 06, 2023DOI:



      Knowing the population’s needs in order to plan measures to reduce emergency department (ED) use is fundamental. The objective of this study was to describe gynaecological ED visits and associated findings in women of reproductive age.


      This study was a retrospective anonymized chart review analysis of visits to the ED for gynaecological disturbances at the University Hospital of Modena. All consecutive women of reproductive age were included. Women aged <18 years and postmenopausal women were excluded from this study.


      In total, 461 records were analysed. The median age was 41 (interquartile range 34–46) years. The most common symptom was dysmenorrhoea (42.7 %), followed by heavy menstrual bleeding (33.2 %). The most common gynaecological findings in the ED were adenomyosis (86.1 %), endometriosis (37.1 %) and leiomyomas (13.7 %). Adenomyosis was the most common finding, regardless of age. Endometriosis was more prevalent in women aged <41 years (43.8 % vs 31.2 %; p < 0.05). Meanwhile, adenomyosis and leiomyomas were more prevalent in women aged ≥41 years (81.11 % vs 90.57 % and 7.37 % vs 19.26 %, respectively; p < 0.05). Moreover, potentially life-threatening findings had low prevalence [i.e. haemorrhagic ovarian cyst (0.2 %), tubo-ovarian abscess (0.2 %) and pelvic inflammatory disease (0.4 %)].


      In the study setting, chronic pathologies such as adenomyosis, endometriosis and leiomyomas significantly impacted use of the ED. Adenomyosis was the most common pathology, regardless of age. Adenomyosis and leiomyomas were more prevalent in women aged ≥41 years, and endometriosis was more prevalent in women aged <41 years.


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