Anjeza Chukus MD, Presenter: Nothing to Disclose

Nikki Tirada MD, Abstract Co-Author: Nothing to Disclose

Neelima Indukuru Reddy MD, Abstract Co-Author: Nothing to Disclose

To understand pathogenesis and disease progression in PID. To recognize the imaging appearance of the different phases of PID and be able to differentiate acute from chronic PID. To familiarize with other disease processes that mimic PID.  

PID is an important health problem afflicting women with sequela such as chronic pelvic pain, ectopic pregnancy, and infertility. We aim to demonstrate the sonographic manifestations of disease progression in PID namely acute salpingits, oophoritis, pyosalpinx, tubo-ovarian complex, tubo-ovarian abscess, and hydrosalpinx. Through demonstration of specific signs such as the “cogwheel”sign, tubal wall thickness/vascularity, internal debris and surrounding complex intra pelvic free fluid, we will demonstrate how acute inflammation of the tubes can be distinguished from chronic hydrosalpinx which demonstrates the “beads-on-a-string” sign. The incomplete echogenic septation in a dilated blocked fallopian tube is a useful diagnostic landmark to identify the tube and will be depicted pictorially and through radiologic images. It is of utmost importance for the radiologist to be familiar with the pathogenesis and disease progression of PID that is resulting in staggering financial implications on health care systems worldwide, when not recognized and treated in a timely fashion.

http://abstract.rsna.org/uploads/2014/14005630/14005630_gvfh.pdf

Chukus, A, Tirada, N, Reddy, N, Sonographic Approach to Pelvic Inflammatory Disease: Acute vs Chronic.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14005630.html