Bacteriological study of flora secretions from the cervix does not always help identify pathogens associated with pelvic inflammatory disease.
More accurate results are obtained by microbiological examination of the contents of the flora of the fallopian tubes and abdominal cavity, resulting in laparoscopy, puncture or surgery, as association with cervical flora of 10-25%. At ultrasound scan can be visualized advanced fallopian tubes. This Information shared by BV Cure By Kristina J. Tomlin
The value of ultrasonography increased in inflammatory ovarial formed entities. Free fluid in the pelvis combined with pus formation in the uterine appendages often demonstrates his break. Most informative in the diagnosis of acute pelvic inflammatory disease is laparoscopy.
BV Cure Review - Laparoscopy can identify inflammation of the uterus and appendages, its severity and prevalence, to make a differential diagnosis of diseases with a picture of "acute abdomen" to determine the correct tactics. In acute salpingitis endoscopy revealed hyperemic swollen fallopian tubes, end- seropurulent or purulent exudate from fimbrial department and its accumulation in the rectovaginal recess.
Ovaries may be increased as a result of secondary involvement in the inflammatory process. Pyosalpinx rendered as a retort-shaped pipe in the ampullar department pipe wall thickened, edematous, sealed, fimbrial department sealed, in the lumen of the pus.
Piovar looks like a mass lesion with purulent cyst cavity, which has a thick capsule and applying fibrin. In forming the tubo-ovarian abscess in the uterus cavity formed pus, there are extensive adhesions between the tubes, ovaries, uterus, bowel loops, the wall of the pelvis.
Continued existence of tubo-ovarian abscess leads to the formation of a dense capsule separates the cavity purulent (pus cavity) from the surrounding tissues.