pelvic inflammatory disease (PID)

most common initial clinical presentation of PID

vaginitis

most common cause of PID

STDs

an active infection/inflammation

acute PID

the damage that is done

chronic PID

— and — is always related to active infection

fever and leukocytosis

• endometritis

• pyosalpinx or hydrosalpinx

• free fluid in CDS

• complex adnexal masses (TOA)

these are what?

sonographic findings of acute PID

• hydrosalphinx

• adhesions seen as echogenic bands within tube

• complex adnexal mass (TOA)

these are what?

sonographic findings of chronic PID

stage of PID that is confined to uterus with evidence of endometritis

stage 1: early acute PID

stage of PID that spreads into tubes and adnexa with evidence of salphigitis, hydrosalpinx or pyosalpinx and maybe hyperemia

stage 2

stage of PID that is a severe progression of infection into adnexa.bilateral complex adnexal masses known as TOA. once it has reaches this stage, it will always remain chronic

stage 3

adhesions develop between tubes and ovaries leading to fusion

tubo-ovarian complex

The fallopian tube (often inflamed as a pyosalpinx) and the ovary are stuck together by inflammatory adhesions, but you can still recognize them as separate, distinct structures on the ultrasound

tubo-ovarian complex

The normal anatomy and boundary lines between the fallopian tube and the ovary are completely lost and obliterated into a single, fused mass.

tubo-ovarian abscess