Uterus & Adnexa Ultrasound Normal Vs Pelvic Inflammatory Disease (PID) Images | Gynecological USG

*Cases

Endometritis: 0:00
Cervicitis 5:09
Hydrosalpinx 5:28
Pyosalpinx 6:21
TuboOvarian Abscess 7:01

Endometritis:
Endometrial infection/inflammation
Causes: After childbirth
Ultrasound appearance can be normal
Endometrialmyometrial junction disruption
Subserosal Hypoechoic Rim
Heterogeneous endometrial cavity
Increased vascularity on Doppler
Air in the uterus: Hyperechoic dots and lines
Dirty posterior acoustic shadowing
Hypoechoic fluid in CuldeSac

Cervicitis:
Infection/inflammation of the cervix
Heterogeneous enlarged cervix

Hydrosalpinx:
Dilated fallopian Tube
Hypoechoic dilated fluid filled structure outside the uterus and ovary
Internal septations or indentations in dilated fallopian tube
Sausage shaped hypoechoic fluid filled structure

Pyosalpinx:
Dilated fallopian Tube with pus
Hypoechoic dilated fluid filled structure outside the uterus and ovary with internal echoes
Sausage shaped hypoechoic fluid filled structure

TuboOvarian Abscess:
PID complication
Usually bilateral
Tenderness during transvaginal ultrasound
Multilocular structure/multiple septations
Internal echoes
Thick irregular walls