Related Experiment Videos
Acute pelvic inflammatory disease after surgical sterilization
M M Green1, S J Vicario, J S Sanfilippo
1Department of Emergency Medicine, University of Louisville School of Medicine, Kentucky 40292.
Annals of Emergency Medicine
|April 1, 1991
Summary
Pelvic inflammatory disease (PID) may be more common after surgical sterilization than previously believed. Increased physician awareness is crucial for timely diagnosis and treatment in these patients.
Area of Science:
- Gynecology
- Infectious Disease
- Public Health
Background:
- Surgical sterilization is a common procedure, with pregnancy being a known, albeit rare, complication.
- Acute pelvic inflammatory disease (PID) is generally considered an infrequent complication following sterilization.
Purpose of the Study:
- To investigate the incidence of upper tract PID in patients with a history of surgical sterilization.
- To determine if PID occurs more frequently than previously reported in this demographic.
Main Methods:
- Retrospective review of hospitalized patients diagnosed with PID.
- Analysis of demographic, clinical, and laboratory data from 364 patients over six years.
Main Results:
- Twenty-three cases (6%) of acute PID were identified in 21 patients with prior sterilization.
- Nine cases required surgical evaluation due to systemic toxicity.
- Eighteen cases were admitted via the emergency department.
Conclusions:
- Acute PID may be underreported in patients who have undergone surgical sterilization.
- Healthcare providers should maintain a higher index of suspicion for PID in sterilized individuals.
Keywords:
AdnexitisAmericasDemographic FactorsDeveloped CountriesDiseasesFamily PlanningFemale Sterilization--complicationsIncidenceInfectionsLongterm EffectsMeasurementNorth AmericaNorthern AmericaPelvic Inflammatory DiseasePopulationPopulation CharacteristicsPopulation DynamicsReproductive Tract InfectionsResearch MethodologyRetrospective StudiesSterilization, SexualStudiesTime FactorsUnited StatesUrban Population