Abstract
Pyosalpinx is defined as collection of pus in the fallopian tube and is a late manifestation of pelvic inflammatory disease. Pelvic inflammatory disease refers to a spectrum of inflammatory changes of the female genital tract. It comprises of endometritis, salpingitis, cervicitis, pyosalpinx, tubo-ovarian abscess and peritonitis. Pyosalpinx may progress to tubo-ovarian abscess which may rupture leading to peritonitis. In addition, pelvic inflammatory disease commonly affects both side of the tube. Thus, early diagnosis and proper intervention plays a great role in the management of pyosalpinx. We report a case of unilateral left sided pyosalpinx which presented with features of acute abdomen.
Highlights
Pelvic inflammatory disease (PID) is defined as a spectrum of diseases characterized by inflammatory changes of the upper and lower genital tract
Proper timely diagnosis of pyosalpinx is important and if left untreated may progress to tubo-ovarian abscess with rupture which may further result in peritonitis
Pyosalpinx is defined as a collection of pus within the fallopian tube and is a late feature of PID
Summary
Pelvic inflammatory disease (PID) is defined as a spectrum of diseases characterized by inflammatory changes of the upper and lower genital tract. It occurs as a result of ascending bacterial infection into the upper genital tract which progresses from endometritis, salpingitis, hydrosalpinx to pyosalpinx. It commonly occurs bilaterally and unilateral involvement is rare. Transvaginal sonography is the initial investigation which helps in characterization of tubo-ovarian pathology. Proper timely diagnosis of pyosalpinx is important and if left untreated may progress to tubo-ovarian abscess with rupture which may further result in peritonitis
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