Imaging of Pelvic Inflammatory Disease, Part I

In this video lecture, we discuss the ultrasound and computed tomography (CT) appearance of pelvic inflammatory disease (PID).

Topics include:
1) Early findings of PID, including haziness of pelvic fat, salpingitis, oophoritis, and endometritis.
2) Importance of identifying dilated fallopian tubes by the characteristic “C” or “S” shape that they exhibit, as well as the presence of the “cogwheel” sign.
3) Differentiating tubo-ovarian abscess (TOA) from tubo-ovarian complex (TOC), and the associated treatment implications.
4) Delineation of the typical posterior, dependent position of pyosalpinges and TOAs, as well as the associated anterior displacement of the broad ligament/mesosalpinx.

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