Adnexal Pathology Online version Adnexal Pathology by Heather Shirley 1 Pelvic Inflammatory Disease 2 Salpingitis 3 Hydrosalpinx 4 Pyosalpinx 5 Tubo-Ovarian Abcess 6 Tubo-ovarian complex 7 Peritonitis 8 Endometriosis diffuse inflammatory disease processes of the female pelvic cavity. most commonly caused by sexually transmitted diseases may mimic functional bowel disease associated with infertility and endometritis increased risk factor with multiple sexual partners Inflammation of fallopian tube Ultrasound appearance: Dilated Tortuous fallopian tube Obstructed tube filled with serous secretions Walls become thin secondary to dilation pointed “beak” at swollen end of tube near isthmus Retained pus in oviduct with inflammation May appear as complex mass Pus within dilated tube very thick and echogenic—poor sound transmission Adhesive, edematous, inflamed serosa may further adhere to ovary and/or other peritoneal surfaces, which distorts anatomy Appears as complex mass in posterior CDS that distorts the anatomy Usually responds well to antibiotic treatment without need for surgical drainage Worsened infection with periovarian adhesions Ovary cannot be separated from inflamed dilated tube Inflammation of peritoneum Loculated areas of fluid within pelvis, paracolic gutters, mesenteric reflections, space between right kidney and liver and left kidney and spleen Common condition in which functioning endometrial tissue is present outside the uterus Tissue cyclically bleeds and proliferates as stimulated by changes in hormonal influence. can be diffuse with plantings within peritoneum can be localized with discrete mass
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