Haatal B. Dave MD, MS, Presenter: Nothing to Disclose

Matthew Latham Macer MD, Abstract Co-Author: Nothing to Disclose

Claire Kaufman, Abstract Co-Author: Nothing to Disclose

Margarita V. Revzin MD, Abstract Co-Author: Nothing to Disclose

Mahan Mathur MD, Abstract Co-Author: Nothing to Disclose

Mike Spektor MD, Abstract Co-Author: Nothing to Disclose

1. Clinical and pathologic correlation provides a more thorough understanding of PID which can aid in disease recognition. 2. Early CT findings may be subtle and include low grade infectious/inflammatory changes of the pelvic fat and pelvic organs. 3. Knowledge of the spectrum of imaging findings in PID is paramount for the radiologist to make a prompt and accurate diagnosis.

PID Background: • Definition • Risk Factors • Clinical presentation • Diagnosis • Management • Complications Imaging Findings: Early PID • Pelvic edema and free fluid (simple or complex), fat stranding • Obliteration of pelvic fascial planes • Thickened uterosacral ligaments • Distended, thick-walled fallopian tube (s) - salpingitis • Enlarged edematous ovaries - oophoritis • Endometritis/Cervicitis Late PID • Hydrosalpinx/pyosalpinx • Tubo-ovarian/pelvic abscess • Peritonitis • Fitz-Hugh Curtis syndrome - hepatic capsular retraction and adhesions Complications • Ectopic pregnancy • Ileus from surrounding inflammation • Bowel obstruction from adhesions • Ureteral obstruction Differential Diagnosis: • Hemorrhagic ovarian cyst (+/- rupture) • Endometriosis/endometrioma • Ovarian neoplasm • Pelvic abscess/inflammation of different etiology (e.g. diverticulitis, appendicitis, Crohn’s disease)

http://abstract.rsna.org/uploads/2014/14015438/14015438_aic1.pdf

Dave, H, Macer, M, Kaufman, C, Revzin, M, Mathur, M, Spektor, M, Pus in the Pelvis: A Multimodality Approach to Pelvic Inflammatory Disease with Clinical and Pathologic Correlation.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14015438.html