La enfermedad pélvica inflamatoria (EPI) es una infección seria en los órganos reproductores femeninos. Estos incluyen el útero, los ovarios y las trompas de. Request PDF on ResearchGate | Enfermedad inflamatoria pélvica | Every year thousands of women has an event of acute pelvic inflammatory disease (PID). Are you worried about PID? Learn about PID symptoms, treatments, and how you can protect yourself. Find local STD testing centers in Colorado.

Author: Nikojas Malazuru
Country: Bahamas
Language: English (Spanish)
Genre: Spiritual
Published (Last): 16 July 2012
Pages: 18
PDF File Size: 13.51 Mb
ePub File Size: 11.97 Mb
ISBN: 252-7-19689-366-6
Downloads: 76594
Price: Free* [*Free Regsitration Required]
Uploader: Mooguzshura

Women’s Health Care Physicians

It occurs when these bacteria move up from the vagina or cervix into the uterus and other reproductive organs. If they do have symptoms, they may include abdominal, cervical niflamatoria uterine pain or tenderness, along with fever or chills. Female patient is 26 years old, nulliparous, sexually active, whose personal history highlights hormonal contraceptive vaginal ring, about 5 episodes of abnormal vaginal discharge in the past year, some of which received topical antifungal treatment, drainage of adjacent to clitoris abscess 3 months earlier, deep dyspareunia and leukorrhea untreated of 1-month duration.

Admission of patient due to clinical frame of 5-day duration right upper quadrant pain, rapidly progressive start, exacerbated with deep inspiration, Valsalva maneuvers and movements, initially irradiated flank and right iliac fossa without postprandial exacerbation, sometimes accompanied by nausea without vomiting.

Its clinical diagnosis can be complex and subclinical forms can sometimes go unnoticed.

About half of the cases present fever, purulent endocervical exudate, cervical and adnexal sensitivity 1,2,5. Low abdominal pain is the most common symptom, and is described as dull or cramping and tends to knflamatoria exacerbated by movement, exercise or sexual intercourse dyspareunia.


Sex Transm Dis ; Normal pulmonary and cardiac auscultation.

Enfermedad inflamatoria pélvica: un reto en el diagnóstico y tratamiento precoz

Bacterial vaginosis and anaerobic bacteria are associated with endometritis. Clin Infec Dis ; The presence of peritoneal fluid in normal conditions can vary between 1 and 21 cc, furthermore has been shown that this fluid bathes all abdominal and pelvic organs and can even enter the lumen of the Fallopian tubes. J Am Acad Nurse Pract ; Infect Dis Obstet Gynecol; Treatment of acute pelvic inflammatory disease.

Cost-effectiveness of alternative outpatient pelvic inflammatory disease treatment strategies. J Reprod Med ; Direct medical cost of pelvic inflammatory disease and its sequelae: The rest is normal.

Enfermedad Inflamatoria Pélvica | Blausen Medical

Delayed care of pelvic inflammatory disease as a risk factor for impaired fertility. Diagnosis and treatment of pelvic inflammatory disease. Expert Rev Anti Infect Ther ;9: In the acute phase presents pain of pleuritic characteristics in right upper quadrant pelvjca.

The common etiologic agent isolated was N. Definitive diagnosis is now possible with non-invasive techniques such as ultrasound, computed tomography, as well as techniques to isolate the responsible germ, available in most centers. Apropos of 20 cases. Sex Transm Dis ; Abdomen not distended, preserved peristalsis, soft depressible very painful on superficial palpation and defense in right upper quadrant and mild pain in lower abdomen.


Discarding hepatic, biliary lithiasic and vesicular diseases, a CT scan of abdomen with contrast is performed, which detects homogeneous hepatomegaly without focal lesions, diffuse periportal edema Fig.

Infect Dis Obstet Gynecol ; Introduction Pain in the upper right quadrant of the abdomen is a pelvicw usually associated with hepatobiliary diseases such as cholelithiasis or cholecystitis, duodenal ulcers, liver abscess, subphrenic abscess, herpes zoster, etc. The Fitz-Hugh-Curtis syndrome revisited. In the vast majority of cases of Fitz-Hugh-Curtis syndrome there are improvement in symptoms, laboratory abnormalities and imaging with appropriate antibiotic treatment 1,2as clearly documented with our patient.

Physical examination usually reveals lower abdominal tenderness, pain to uterine and cervical motion or adnexal tenderness. Cleve Clin J Enfermedae ; Usually it’s indicated to start with medical treatment following the recommended guidelines, and if the patient does not improve or has a severe case, hospitalization and intravenous medical treatment is indicated, reserving surgery for those cases in which fail the above steps.

Diagnosis is usually based on the presence of typical symptoms when other serious conditions like appendicitis or ectopic pregnancy can be excluded. Being a sexually transmitted germ, other agents must be discarded in the same category.

Pelvis inflammatory disease, chlamydia trachomatis, neisseria gonorrhoeae, endometritis, salpingitis. inflamwtoria

Once confirmed the diagnosis as a perihepatitis by C.

Back To Top