Common gynecological emergencies include ectopic pregnancy, ovarian cyst tip torsion, luteal rupture bleeding, acute pelvic inflammatory disease, and acute exacerbation of chronic pelvic inflammatory disease. Patients with ectopic pregnancy most often have irregular bleeding, and ultrasound examination reveals a mass in the uterine adnexa. Clinicians make a comprehensive diagnosis based on the information from the ultrasound examination and combining it with blood HCG or urine HCG. If HCG is negative, it can be identified as a uterine adnexal mass or a mass formed after rupture of the corpus luteum capsule. Patients with ovarian cyst tip torsion present with sudden lower abdominal pain, and a history of cysts can be used to make a comprehensive diagnosis. A physician experienced in ultrasound can observe abnormal signs of a rotating tip in addition to the mass. Emergency findings such as ruptured pregnancy bleeding, luteal rupture bleeding, ovarian torsion, or acute pelvic inflammatory disease need to be combined to provide valuable diagnostic information to the clinician.