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Pelvic inflammatory disease: sonographic-pathologic correlation.

L C Swayne, M B Love, S R Karasick

    Radiology
    |June 1, 1984
    PubMed
    Summary
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    Pelvic inflammatory disease (PID) sonography showed three patterns: endometritis, focal mass, and pelvic distortion. However, ultrasound could not reliably differentiate various PID pathologies.

    Area of Science:

    • Radiology
    • Gynecology
    • Medical Imaging

    Background:

    • Pelvic inflammatory disease (PID) is a significant gynecologic infection.
    • Accurate diagnosis of PID is crucial for effective treatment and preventing complications.
    • Sonography is a common imaging modality used in evaluating pelvic abnormalities.

    Purpose of the Study:

    • To correlate sonographic findings in women with PID with surgical and laparoscopic findings.
    • To classify sonographic patterns associated with PID.
    • To assess the reliability of sonography in distinguishing different PID pathologies.

    Main Methods:

    • Retrospective analysis of sonographic findings in 65 women diagnosed with PID.
    • Correlation of imaging findings with surgical and laparoscopic pathology.

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  • Classification of abnormal sonograms into three distinct patterns: Type I (endometritis), Type II (focal mass), and Type III (total pelvic distortion).

    • Main Results:

    • Three distinct sonographic patterns were identified in women with PID.
    • A "pseudouterus sign" was observed in three patients post-hysterectomy.
    • Sonography demonstrated limitations in reliably distinguishing between various pathological entities within the PID spectrum.

    Conclusions:

    • Sonographic patterns can categorize findings in PID, including endometritis, focal masses, and pelvic distortion.
    • The "pseudouterus sign" is a notable finding in post-hysterectomy patients with PID.
    • Sonography alone has limitations in differentiating the specific pathological causes of PID.