ISSN: 1305-3876
Dil: Türkçe
Hakkında: Özel sayılar şeklinde yayınlanır.
|
|
|
Acute Pelvic Inflammatory Disease (pid)
Dr. Murat DEDEa
aKadın Hastalıkları ve Doğum AD, GATA, ANKARA
Pelvic inflammatory disease is defined as upper genital tract infection in women. PID is most commonly caused by ascending infection that involves cervix, uterus, fallopian tubes and pelvic peritoneum. Components of PID are endometritis, parametritis, salpingitis, oophoritis, peritonitis, and tubo-ovarian abscess. One or more of these components might be present in patients. Clinical spectrum of acute PID might change from asymptomatic mild infection to life threatening severe infection. Long term sequela which involve infertility, ectopic pregnancy, chronic pelvic pain might result from all forms of disease. PIH remains a clinical diagnosis in which laboratory tests are used to support diagnosis. Laboratory and imaging modalities are also indicated in treatment resistant cases and diagnosis of complications. A severe PID case which includes tubo-ovarian abscess requires inpatient treatment with broad spectrum parenteral antibiotics. Surgical emergencies also hospitalized for treatment. Prevention of PID and complications might require routine screening for asymptomatic Chlamydial infections. Etiology of PID is usually polymicrobial. Chlamydia trachomatis and Neisseria gonorrhea are the most commonly isolated organisms. Anaerobic and aerobic vaginal flora frequently involved. Typical clinical presentation of acute PID involves lower abdominal pain and systemic symptoms (fever, nausea, vomiting).Keywords: Pelvic inflammatory disease, diagnosis, managementTurkiye Klinikleri J Surg Med Sci 2006, 2(24):73-77
|
|
|
|
|
