Salpingitis

See also pelvic inflammatory disease

__//Western Diagnosis//__ infection of the fallopian tubes pelvic inflammatory disease (PID); also includes endometritis, cervicitis, oophoritis

Etiology
1. mostly in sexually active women under the age of 35 2. rare before menarche, after menopause or during pg 3. Chlamydia trachomatis most common organism 4. Neisseria gonorrhoeae 2nd most common; used to be 1st 5. can occur after insertion of IUD, childbirth, abortion

Signs and Symptoms
1. onset shortly after menses 2. progressively severe lower abdominal pain 3. guarding, rebound tenderness 4. < movement of cervix 5. usually bilateral 6. low to high fever, mild to severe abdominal pain, scant to copious cervical discharge 7. possible abscess formation in tubes, ovaries, pelvis 8. may become chronic ---tubal and pelvic scarring and adhesions ---chronic pain ---menstrual irregularities ---infertility

Diagnosis
1. recent coitus, childbirth, IUD, abortion 2. T, ESR, WBC may be elevated 3. severe pain on moving of the cervix 4. gm stain, culture 5. may need laparoscopy

Treatment
1. immediate antibiotics: prevent infertility 2. identify and tx sexual contacts