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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
- Pelvic inflammatory disease (PID)
- Spectrum of disease including endometritis, salpingitis, tubo-ovarian abscess, and oophoritis
- Usually sexually transmitted disease involving organism such as Chlamydia trachomatis or Neisseria gonorrhoeae but can also be polymicrobial
- Can occur from extension of inflammation from adjacent organs such as appendicitis, diverticulitis, and colitis
- Pyosalpinx
- Tube distended with pus
- Tubo-ovarian complex (TOC)
- Abscess adherent to tube
- Distinguishable separate ovary
- Tubo-ovarian abscess (TOA)
- Abscess involving tube and ovary
- Separate ovary no longer distinguishable
- Pelvic inflammatory disease (PID)
IMAGING
General Features
Ultrasonographic Findings
CT Findings
Imaging Recommendations
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Romosan G et al: The sensitivity and specificity of transvaginal ultrasound with regard to acute pelvic inflammatory disease: a review of the literature. Arch Gynecol Obstet. 289(4):705-14, 2014
- Kaproth-Joslin K et al: Imaging of female infertility: a pictorial guide to the hysterosalpingography, ultrasonography, and magnetic resonance imaging findings of the congenital and acquired causes of female infertility. Radiol Clin North Am. 51(6):967-81, 2013
- Romosan G et al: Ultrasound for diagnosing acute salpingitis: a prospective observational diagnostic study. Hum Reprod. 28(6):1569-79, 2013
- Andreotti RF et al: Sonographic evaluation of acute pelvic pain. J Ultrasound Med. 31(11):1713-8, 2012
- Chappell CA et al: Pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and tuboovarian abscess. Clin Obstet Gynecol. 55(4):893-903, 2012
- Roche O et al: Radiological appearances of gynaecological emergencies. Insights Imaging. 3(3):265-75, 2012
- Rezvani M et al: Fallopian tube disease in the nonpregnant patient. Radiographics. 31(2):527-48, 2011
- Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
- Kim JY et al: Perihepatitis with pelvic inflammatory disease (PID) on MDCT: characteristic findings and relevance to PID. Abdom Imaging. 34(6):737-42, 2009
- Adhikari S et al: Role of bedside transvaginal ultrasonography in the diagnosis of tubo-ovarian abscess in the emergency department. J Emerg Med. 34(4):429-33, 2008
- Halperin R et al: Predictors of tuboovarian abscess in acute pelvic inflammatory disease. J Reprod Med. 53(1):40-4, 2008
- Potter AW et al: US and CT evaluation of acute pelvic pain of gynecologic origin in nonpregnant premenopausal patients. Radiographics. 28(6):1645-59, 2008
- Piscaglia F et al: Fitz-Hugh-Curtis-syndrome mimicking acute cholecystitis: value of new ultrasound findings in the differential diagnosis. Ultraschall Med. 26(3):227-30, 2005
- Horrow MM: Ultrasound of pelvic inflammatory disease. Ultrasound Q. 20(4):171-9, 2004
- Dohke M et al: Comprehensive MR imaging of acute gynecologic diseases. Radiographics. 20:1551-66, 2000
- Sexually Transmitted Diseases Treatment Guidelines, 2015
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
- Pelvic inflammatory disease (PID)
- Spectrum of disease including endometritis, salpingitis, tubo-ovarian abscess, and oophoritis
- Usually sexually transmitted disease involving organism such as Chlamydia trachomatis or Neisseria gonorrhoeae but can also be polymicrobial
- Can occur from extension of inflammation from adjacent organs such as appendicitis, diverticulitis, and colitis
- Pyosalpinx
- Tube distended with pus
- Tubo-ovarian complex (TOC)
- Abscess adherent to tube
- Distinguishable separate ovary
- Tubo-ovarian abscess (TOA)
- Abscess involving tube and ovary
- Separate ovary no longer distinguishable
- Pelvic inflammatory disease (PID)
IMAGING
General Features
Ultrasonographic Findings
CT Findings
Imaging Recommendations
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Romosan G et al: The sensitivity and specificity of transvaginal ultrasound with regard to acute pelvic inflammatory disease: a review of the literature. Arch Gynecol Obstet. 289(4):705-14, 2014
- Kaproth-Joslin K et al: Imaging of female infertility: a pictorial guide to the hysterosalpingography, ultrasonography, and magnetic resonance imaging findings of the congenital and acquired causes of female infertility. Radiol Clin North Am. 51(6):967-81, 2013
- Romosan G et al: Ultrasound for diagnosing acute salpingitis: a prospective observational diagnostic study. Hum Reprod. 28(6):1569-79, 2013
- Andreotti RF et al: Sonographic evaluation of acute pelvic pain. J Ultrasound Med. 31(11):1713-8, 2012
- Chappell CA et al: Pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and tuboovarian abscess. Clin Obstet Gynecol. 55(4):893-903, 2012
- Roche O et al: Radiological appearances of gynaecological emergencies. Insights Imaging. 3(3):265-75, 2012
- Rezvani M et al: Fallopian tube disease in the nonpregnant patient. Radiographics. 31(2):527-48, 2011
- Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
- Kim JY et al: Perihepatitis with pelvic inflammatory disease (PID) on MDCT: characteristic findings and relevance to PID. Abdom Imaging. 34(6):737-42, 2009
- Adhikari S et al: Role of bedside transvaginal ultrasonography in the diagnosis of tubo-ovarian abscess in the emergency department. J Emerg Med. 34(4):429-33, 2008
- Halperin R et al: Predictors of tuboovarian abscess in acute pelvic inflammatory disease. J Reprod Med. 53(1):40-4, 2008
- Potter AW et al: US and CT evaluation of acute pelvic pain of gynecologic origin in nonpregnant premenopausal patients. Radiographics. 28(6):1645-59, 2008
- Piscaglia F et al: Fitz-Hugh-Curtis-syndrome mimicking acute cholecystitis: value of new ultrasound findings in the differential diagnosis. Ultraschall Med. 26(3):227-30, 2005
- Horrow MM: Ultrasound of pelvic inflammatory disease. Ultrasound Q. 20(4):171-9, 2004
- Dohke M et al: Comprehensive MR imaging of acute gynecologic diseases. Radiographics. 20:1551-66, 2000
- Sexually Transmitted Diseases Treatment Guidelines, 2015
