Pelvic inflammatory disease

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  • Upper genital tract infection in women that involves a combination of endometrium, fallopian tubes, and peritoneum

Background

Microbiology

Epidemiology

  • About 10-15% of women have at least one episode

Clinical Presentation

  • Pelvic or abdominal pain is the main complaint
  • May be febrile and have adnexal, uterine, or cervical motion tenderness
  • Must rule out an ectopic pregnany
  • May present with tuboovarian abscess

Investigations

  • β-hCG to rule out ectopic pregnancy
  • Endocarvical swabs for gonorrhea and chlamydia, and possibly HSV
  • Vaginal swabs for culture, pH, whiff testing, wet preps, and Gram stain
  • Ultrasound can be helpful, especially for tuboovarian abscess

Management

Further Reading