Abstract
Pelvic Inflammatory Disease (PID) refers to an infection of upper female genital tract, including uterus, fallopian tubes and ovaries, which might involve adjacent pelvic structures. It is generally caused by a sexually transmitted infection. It occurs due to migration of an infection up to the genital tract during a transcervical intervention or pregnancy. The prevalence of PID has decreased in USA in the last decade. Almost 106,000 patients presenting to hospitals in USA in a year are diagnosed with PID, and 60,000 of them require hospitalization. The primary risk factor for PID is sexual intercourse. The risk of developing PID is non-existent in virgin women. On the other hand, women having one sexual partner rarely develop PID in the long term. Having multiple sexual partners is the biggest risk factor for developing PID. Young age, history of chlamydia or PID, and having a sexual partner who has a sexually transmitted disease can be listed among the other risk factors. Methods of contraception affect the frequency of PID. Specifically, barrier methods provide protection from PID whereas the use of intrauterine device (IUD) increases the risk.
Highlights
Pelvic Inflammatory Disease (PID) refers to an infection of upper female genital tract, including uterus, fallopian tubes and ovaries, which might involve adjacent pelvic structures
The patient was hospitalized upon the diagnosis of pelvic abscess following the observation of a C-reactive protein (CRP) level of 3+ and a sedimentation level of 56 millimetres/hour, and the abscess was discharged through curettage
Intrauterine observation resulted in a cystic manifestation of 55x33 mm that suggested the presence of an abscess, and an image suggesting the presence of intrauterine device (IUD) (Figure 1)
Summary
Pelvic Inflammatory Disease (PID) refers to an infection of upper female genital tract, including uterus, fallopian tubes and ovaries, which might involve adjacent pelvic structures. Magnetic resonance imaging results of the patient were reported as follows: A manifestation of IUD in the endometrial cavity. The patient was hospitalized upon the diagnosis of pelvic abscess following the observation of a C-reactive protein (CRP) level of 3+ and a sedimentation level of 56 millimetres/hour (mm/h), and the abscess was discharged through curettage.
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