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Korean Journal of Obstetrics & Gynecology 2009;52(12):1338-1343.
Published online December 1, 2009.
Differential usefulness of pelviscopy for PID: 4 cases of acute appendicitis.
Dae Hyung Lee, Min Whan Koh
Department of Obstetrics and Gynecology, Yeungnam University School of Medicine, Daegu, Korea. kohmw@ynu.ac.kr
Abstract
The pelvic inflammatory disease (PID) occurs when microbacteria ascend via vagina to the upper genital organs such as endometrium, tubes, ovaries and even pelvic peritoneum as a result of infected intercourse. That could be presented as perihepatitis, parametritis, intraperitoneal pelvic inflammatory disease, not to mention endometritis, salpingitis and tubo-ovarian abscess. Symptoms and signs of PID resembles those of several abdominal diseases such as acute appendicitis, acute gastroenteritis, ectopic pregnancy, and adnexal torsion. Especially differentiation of acute appendicitis from PID is very important because acute appendicitis must be treated by operation but PID could be treated by surgery or antibiotics only even though their symptoms and signs are very alike. So, diagnostic pelviscopy for PID is very important for differential diagnosis and further management. We experienced and report four cases of appendicitis that could not be diagnosed differentially from PID which managed with the emergent pelviscopy successfully.
Key Words: Pelvic inflammatory disease (PID), Appendicitis, Pelviscopy
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