1) Discuss the optimal CT techniques for evaluating patients with suspected PID. 2) Recognize the CT findings commonly seen in early and advanced PID. 3) Discuss common and uncommon causes of PID
Pelvic inflammatory disease (PID) represents inflammation of the upper genitalia and the adjacent pelvic region.
The etiology is an infectious agent, but it is often never identified.
Risk factors include young age, high frequency of partner change, lack of barrier contraception low socioeconomic group.
The clinical presentation is pelvic pain, fever and leucocytosis.
US is considered the initial imaging test of choice but CT is more accurate.
The main findings in CT are: Small amount of fluid in the pelvis, fat stranding or increased attenuation of pelvic fat and pyosalpinx. Tuboovarian abscess appears as a complex fluid collection with thick enhancing walls, commonly bilateral.
CT can be used as guidance for percutaneous drainage,.
Soffia, P,
Pelvis Femenina y Masculina: Enfermedad Inflamatoria Pélvica/Female and Male Pelvis: Pelvic Inflammatory Disease . Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL.
http://archive.rsna.org/2013/13029296.html