Doppler flow characteristics in patients with pelvic inflammatory disease: Responders versus nonresponders to therapy

Tepper, R.; Aviram, R.; Cohen, Nahum; Cohen, I.; Holtzinger, Michael; Beyth, Yoram

doi:10.1002/(sici)1097-0096(199806)26:5<247::aid-jcu3>3.0.co;2-c

Cited by 20 publications

(14 citation statements)

References 5 publications

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“…Pelvic USG has proven to be a useful complementary tool in the diagnosis of PID in adolescents. 21,22 In our study, USG compatible with PID was present in 40% of adolescents with an STI. This high rate could be associated with the sonographers' awareness of the suspected diagnosis.…”

Section: Discussionsupporting

confidence: 55%

Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity

Velarde-Jurado¹,

Estrada-Reyes²,

Eraña-Guerra³

et al. 2003

Salud pública Méx

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Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity. Salud Publica Mex 2003;45 suppl 5:S641-S646. The English version of this paper is available too at: http://www.insp.mx/salud/index.html Abstract Objective. To identify clinical, laboratory and ultrasonographic evidence of a probable sexually transmitted infection associated with vulvovaginal symptoms in adolescents denying sexual activity. Material and Methods. The medical records of female adolescents, aged 10-18 years were reviewed. These women received first-time medical care for vulvovaginitis, between 1995 and 1999 at Hospital Infantil de México Federico Gómez, (Children's Hospital). Comparisons between groups were performed, as appropriate, by the unpaired Student's t-test, the Z test or the chi-square test; statistically significant differences were set at a twotailed p<0.05. Odds ratios with 95% confidence intervals were calculated. Results. Of 258 adolescents with vulvovaginitis, 53 (20.5%) had a sexually transmitted microorganism and 52 of them denied ever having sexual activity. Age, education and socioeconomic level, development of sexual characters, and presence of menstruation did not differ between patients with and without sexually transmitted infections. The presence of sexually transmitted infections was associated with lower abdominal pain, abnormally colored vaginal discharge, a positive urine culture, and an abdominal ultrasonographic evidence, compatible with pelvic inflammatory disease (ultrasonographic odds ratio 144.8; 95% CI 51.0 to 411.3). Conclusions. There is an association between sexually transmitted infections in young women with vulvovaginitis and lower abdominal pain, Velarde-Jurado E, Estrada-Reyes E, Eraña-Guerra L, Raya-Rivera A, Velázquez-Armenta EY, Nava-Ocampo AA. Infecciones de transmisión sexual asociadas a síntomas vulvovaginales en adolescentes que niegan vida sexual activa. Salud Publica Mex 2003;45 supl 5:S641-S646. El texto completo en inglés de este artículo también está disponible en: http://www.insp.mx/salud/index.html ARTÍCULO ORIGINAL S642 salud pública de méxico / vol.45, suplemento 5 de 2003 Velarde-Jurado E y col.

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Section: Discussionsupporting

confidence: 55%

Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity

Velarde-Jurado¹,

Estrada-Reyes²,

Eraña-Guerra³

et al. 2003

Salud pública Méx

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“…Vascular resistance increased as the infection subsided. Tepper et al 22 found that Fallopian tube arterial resistance decreased with increasing severity of PID. Thus, these studies consistently show that acute inflammation causes hyperemia, leading to a decrease in vascular resistance seen with color Doppler, and that increasing vascular resistance reflects recovery.…”

Section: Discussionmentioning

confidence: 99%

Transvaginal power Doppler findings in laparoscopically proven acute pelvic inflammatory disease

Molander

Sjöberg

Paavonen

et al. 2001

Ultrasound in Obstet & Gyne

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“…Even though acutely inflamed tubes are richly vascularized at color Doppler [16,15,17,6,5], our review shows that spectral Doppler results overlap too much between women with and without acute PID for them to be useful in isolation in the diagnosis of acute PID [6,5]. Color/power Doppler findings on the other hand might be useful for discriminating between acute and chronic PID, acutely inflamed tubes being more richly vascularized at power Doppler than chronic hydrosalpinges [19].…”

Section: Discussion/summary Of Evidencementioning

confidence: 90%

“…In women with a clinical diagnosis of acute PID, changes in blood flow velocities in the pelvic vessels before, during and after antibiotic treatment have been observed by performing serial spectral Doppler ultrasound examinations. In the acute phase of the infection, the vascular resistance (pulsatility index, resistance index) in the uterine arteries [15,16], tubo-uterine and ovarian arteries [16] and arteries of pelvic masses [17] was low but returned to normal when the infection subsided [16,15,17].…”

Section: Doppler Velocimetrymentioning

confidence: 99%

The sensitivity and specificity of transvaginal ultrasound with regard to acute pelvic inflammatory disease: a review of the literature

Romosan

Valentin

2013

Arch Gynecol Obstet

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The sensitivity and specificity of transvaginal ultrasound with regard to acute pelvic inflammatory disease: a review of the literature. Link to publication Citation for published version (APA): Romosan, G., & Valentin, L. (2014). The sensitivity and specificity of transvaginal ultrasound with regard to acute pelvic inflammatory disease: a review of the literature. Archives of Gynecology and Obstetrics, 289(4), 705-714. DOI: 10.1007/s00404-013-3091-6 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal FundingNo funding or other support was received for this review. Conflict of interest:No author has a conflict of interest. AbstractPurpose: This review aims to sum up current knowledge on the sensitivity and specificity of ultrasound features suggestive of acute pelvic inflammatory disease (PID).Methods: A PubMed database search was undertaken, using the Mesh terms "(pelvic inflammatory disease or salpingitis or adnexitis) and ultrasonography". We included original articles evaluating the performance of vaginal ultrasound in detecting acute PID.Results: Seven articles were selected, including between 18 and 77 patients each. The golden standard used was laparoscopy /endometrial biopsy in six studies and mostly clinical evaluation in one. "Thick tubal walls"proved to be a specific and sensitive ultrasound sign of acute PID, provided that the walls of the tubes can be evaluated, i.e. when fluid is present in the tubal lumen (100% sensitivity). The cogwheel sign is also a specific sign of PID (95-99% specificity), but it seems to be less sensitive (0-86%sensitivity). Bilateral adnexal masses appearing either as small solid masses or as cystic masses with thick walls and possibly manifesting the cogwheel sign also seems to be a reasonably reliable sign (82%sensitivity, 83%specificity). Doppler results overlap too much between women with and without acute PID for them to be useful in the diagnosis of acute PID, even though acutely inflamed tubes are richly vascularized at color Doppler. Conclusions:Even though the results of our review suggest that transvaginal ultrasound has limited ability to diagnose acute PID, it is likely to be helpful when managing women with symptoms of acute PID, because in some cases the typical ultrasound signs of acute PID can be detected.

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Doppler flow characteristics in patients with pelvic inflammatory disease: Responders versus nonresponders to therapy

Cited by 20 publications

References 5 publications

Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity

Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity

Transvaginal power Doppler findings in laparoscopically proven acute pelvic inflammatory disease

The sensitivity and specificity of transvaginal ultrasound with regard to acute pelvic inflammatory disease: a review of the literature

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