Salpingitis; aspects of diagnosis and etiology: a 4-year study from a Swedish capital hospital

Brihmer, Christina; Kallings, Ingegerd; Nord, Carl‐Erik; Brundin, Jan

doi:10.1016/0028-2243(87)90020-7

Cited by 27 publications

(6 citation statements)

References 16 publications

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“…The difficulty of making a clinical diagnosis of PID is highlighted in this study by the fact that only one‐fifth of the women were confirmed as having PID at laparoscopy. It has been pointed out previously (Brihmer et al 1987) that the accuracy of diagnosis is related to the severity of the signs and symptoms and it is noteworthy that most women in this study were not severely ill.…”

Section: Discussionsupporting

confidence: 49%

A longitudinal study of pelvic inflammatory disease

Stagey

Munday

Taylor‐Robinson

et al. 1992

BJOG

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Objective To study the microbiology and long term prognosis of pelvic inflammatory disease (PID). Design A prospective study of women with laparoscopically confirmed PID. Setting Teaching hospital in central London. Subjects 23 women with PID. Outcome measures Microbiological investigations at the time of diagnosis and at follow up; subsequent fertility and the occurrence of pelvic pain. Results PID diagnosed by laparoscopy was regarded as moderate to severe in 15 cases. Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma hominis and Ureaplasma urealyticum or a combination of these micro‐organisms were detected most frequently in the cervix, less often in the endometrium and least in the tubes, C. trachomatis being the micro‐organism found most commonly in the tubes. There was serological evidence of acute chlamydial infection in 13 of 20 cases in which paired sera were available and a serological response to M. hominis in 9 of 12 cases in which it was possible to evaluate the results. On the basis of microbiological and serological results, C. trachomatis appeared to be the most important aetiological agent in 10 cases, N. gonorrhoeae in four cases, M. hominis in three cases and U. urealyticum in none; in five cases, two of these microrganisms appeared to be of equal importance. After 1 to 3 years, 33% of the women were having difficulty conceiving and 56% continued to complain of pelvic pain. Conclusion It is difficult to be certain of the infectious cause of PID in any given case. However, the evidence that N. gonorrhoeae and C. trachomatis are pathogens is very strong. M. hominis may be responsible for a few cases on its own or together with other micro‐organisms.

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Section: Discussionsupporting

confidence: 49%

A longitudinal study of pelvic inflammatory disease

Stagey

Munday

Taylor‐Robinson

et al. 1992

BJOG

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“…All patients had a laparoscopically verified PID, which was graded 1-111 according to Westrom (1 1). During laparoscopy specimens and material for culture were taken from the lumen of the fimbrial end of the oviduct or from the pouch of Douglas (12). One of the patients was only included in the correlation study of the variables Se-TN, grade and acute phase reactants, and excluded from the microbiologic part of the study because of treatment with antibiotics at admittance.…”

Section: Patientsmentioning

confidence: 99%

Serum tetranectin in patients with acute pelvic inflammatory disease (PID): Correlation to clinical and laboratory findings

Høgdall¹,

Christiansen²,

Brihmer³

1995

Acta Obstet Gynecol Scand

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A slight, but significant reduction in Se-TN was found in PID patients. The decrease was minor compared to the reported findings of very low Se-TN levels for ovarian cancer patients. However, the finding is important in the assessment of TN used as a potential screening marker for ovarian cancer, or as a diagnostic tool for pelvic tumors. Furthermore, Se-TN does not seem to behave as a negative acute phase reactant.

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“…There is no generally accepted clinical definition of endometritis, reflecting the fact that this condition is difficult to diagnose. Salpingitis is a rare complication after abortion and cannot be diagnosed with a reasonable degree of certainty without laparoscopy (16,17). Therefore, we did not try to assess the rate of salpingitis in this study.…”

Section: Discussionmentioning

confidence: 99%