Acute abdomen is a frequent clinical picture in emergency diagnostics. Pathologic changes of the female genital organs play an important role. Gynecologic emergencies threaten fertility and are potentially life-threatening. Many differential diagnoses must be considered in the diagnostic process, depending on the age of the patient and any pregnancy. In particular, acute gastrointestinal symptoms often cannot be differentiated from gynecologic emergencies on clinical examination. Here, imaging makes a significant contribution to narrowing the differential diagnosis, making treatment decisions, and monitoring therapy. This review article will discuss the central role of imaging in the context of common gynecologic emergencies.

Our study is based on the premise that every crisis has historical precedents and antecedents. First, we analyze past crises, beginning with the experiences of the Dutch tulip bulb crisis. Then, we review major cataclysms, such as World War I, the Spanish flu crisis, the Great Depression of 1929–1933, World War II and the subsequent transition to socialism, the 1973 oil shock, the regime change of 1989, and the 2008–2009 global financial crisis from both general and corporate perspectives. Throughout history, periods of crisis have alternated with phases of development. During times of crisis, people’s behavior changes as they search for solutions and support. This pattern is evident across all levels of economic activity, where governments, organizations, and individuals do their utmost to achieve a quick recovery. Sometimes, they look to external aid, forgetting that lessons from the past may provide guidance for crisis management. Without claiming to be exhaustive, we have identified points worthy of consideration. Our goal is to offer guidance for business organizations, complemented by thoughts addressed to individuals and governments alike. Organizations must pay attention to the first signs of crises and either proceed according to a pre-developed fitting strategy or revise it according to specific circumstances. They cannot avoid the consequences, but they can mitigate the negative effects.

The COVID-19 outbreak on international cruise ships during the early stages of the pandemic has exposed deficiencies in the governance of public health emergencies within the framework of existing international law. These deficiencies encompass various aspects, including the shortcomings of the system of flag state jurisdiction, the vague definition and reasonableness of governments’ “additional health measures” as stipulated in the International Health Regulations (IHR) of 2005, the role of World Health Organization (WHO) in the protection of the fundamental rights of passengers and crew members during epidemic outbreaks on cruise ships, the application of the free pratique rule under the international health law, and other challenges that have not been adequately addressed in current international law. In the post-COVID era, it is essential to revisit these core issues of international law and reassess the allocation of responsibilities among all evolving actors to foster effective multilateral cooperation in epidemic control. This paper adopts the “Diamond Princess” incident as a case study, examining how such public health emergencies pose challenges to international laws, particularly when they occur within the context of a cruise ship. The paper argues that cooperation on global health emergencies will continue to be a challenge until responsibility is more clearly allocated among stakeholders. Additionally, the paper formulates three principles for enhancing governmental cooperation, namely the fairness principle, the nationality principle, and the principle of common but differentiated responsibilities. It is advisable to carefully consider these key principles when reevaluating the international laws on public health emergencies in the post-COVID era.