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Doença, inflamatória pélvica: o que o radiologista precisa saber?
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Advisor(s)
Abstract(s)
O diagnóstico da doença inflamatória pélvica
é clínico, baseando-se numa combinação de
sintomas e sinais, que incluem dor pélvica e febre.
A referenciação ao médico radiologista ocorre
na fase aguda da doença, quando é necessário
excluir diagnósticos diferenciais (ginecológicos,
gastrointestinais ou urinários) ou em doentes
que tiveram um episódio agudo prévio, por vezes
assintomático, que recorrem ao médico assistente
por complicações, como dor pélvica crónica,
gravidez ectópica e infertilidade. Neste contexto,
é fundamental que o médico radiologista
reconheça as manifestações radiológicas dos
diferentes estádios da doença inflamatória
pélvica, com especial ênfase para o abcesso tuboovárico,
cujas características radiológicas colocam
diagnóstico diferencial com carcinoma do ovário.
The diagnosis of pelvic inflammatory disease is clinical, based on a combination of signs and symptoms, which include pelvic pain and fever. The patient is referred to the radiologist either in the acute phase, when it is important to exclude other differential diagnosis (gynaecological, gastrointestinal or urinary) or after the infectious episode, that can be asymptomatic, if the patient presents with complications, such as pelvic pain, ectopic pregnancy and infertility. Therefore, it is fundamental for the radiologist to recognise the radiologic manifestations of the different stages of pelvic inflammatory disease, particularly the tubo-ovarian abscess, which characteristics make differential diagnosis with carcinoma of the ovary.
The diagnosis of pelvic inflammatory disease is clinical, based on a combination of signs and symptoms, which include pelvic pain and fever. The patient is referred to the radiologist either in the acute phase, when it is important to exclude other differential diagnosis (gynaecological, gastrointestinal or urinary) or after the infectious episode, that can be asymptomatic, if the patient presents with complications, such as pelvic pain, ectopic pregnancy and infertility. Therefore, it is fundamental for the radiologist to recognise the radiologic manifestations of the different stages of pelvic inflammatory disease, particularly the tubo-ovarian abscess, which characteristics make differential diagnosis with carcinoma of the ovary.
Description
Keywords
Órgãos pélvicos Sistema génito-urinário Infecção Abcesso tubo-ovárico Pelvic organs Genito-urinary system Infection Tubo-ovarian abscess
Citation
Elisa Melo Abreu; Elsa Rosado; Teresa Margarida Cunha. Pelvic Inflammatory Disease: What the Radiologist Needs to Know?, Acta Radiológica Portuguesa, 27, 106, 41-49, 2015.