Uterus & Adnexa Ultrasound Normal Vs Pelvic Inflammatory Disease (PID) Images | Gynecological USG

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Uterus & Adnexa Ultrasound Normal Vs Pelvic Inflammatory Disease (PID) Images | Gynecological USG

*Cases

Endometritis: 0:00
Cervicitis - 5:09
Hydrosalpinx - 5:28
Pyosalpinx - 6:21
Tubo-Ovarian Abscess - 7:01

Endometritis:
Endometrial infection/inflammation
Causes: After childbirth
Ultrasound appearance can be normal
Endometrial-myometrial junction disruption
Subserosal Hypoechoic Rim
Heterogeneous endometrial cavity
Increased vascularity on Doppler
Air in the uterus: Hyperechoic dots and lines
Dirty posterior acoustic shadowing
Hypoechoic fluid in Cul-de-Sac

Cervicitis:
Infection/inflammation of the cervix
Heterogeneous enlarged cervix

Hydrosalpinx:
Dilated fallopian Tube
Hypoechoic dilated fluid filled structure outside the uterus and ovary
Internal septations or indentations in dilated fallopian tube
Sausage shaped hypoechoic fluid filled structure

Pyosalpinx:
Dilated fallopian Tube with pus
Hypoechoic dilated fluid filled structure outside the uterus and ovary with internal echoes
Sausage shaped hypoechoic fluid filled structure

Tubo-Ovarian Abscess:
PID complication
Usually bilateral
Tenderness during transvaginal ultrasound
Multilocular structure/multiple septations
Internal echoes
Thick irregular walls