The role of laparoscopy in acute pelvic infections.
54 patients presented by history, physical examination and laboratory tests with suspected pelvic inflammatory disease (PID). The use of laparoscopy as a diagnostic tool proved in 13 cases (24%) that the presumptive diagnosis was incorrect. Bacteriological studies revealed chlamydial infection in 21 of 41 cases, in 6 cases only at laparoscopy in the pelvic cavity, gonococcal in 9 of 41 cases; mycoplasmas were identified in 15 cases, being the only pathogen in 7. In 9 cases, no recognized pathogens were isolated. Polymicrobism was frequent. Follow-up studies identified 5 cases of treatment failure; 2 of Gonococcus and 3 of Chlamydia, and detected 3 cases of Chlamydia which had not been identified initially. We discuss the use of laparoscopy in the diagnosis and for follow-up and treatment of PIDs.
Rousseau
S
S
Fertility Clinic, Hospital Hôtel-Dieu de Montréal, Quebec, Canada.
Morisset
M E
ME
Knoefel
F
F
Gattereau
D
D
Morisset
R
R
D000208:Acute Disease; D000328:Adult; D000667:Ampicillin / Q000627:therapeutic use; D002690:Chlamydia Infections / Q000150:complications / Q000175:diagnosis; D004359:Drug Therapy, Combination; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D010535:Laparoscopy; D008795:Metronidazole / Q000627:therapeutic use; D009175:Mycoplasma Infections / Q000150:complications / Q000175:diagnosis; D009428:Netilmicin / Q000627:therapeutic use; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D010402:Penicillin G Procaine / Q000627:therapeutic use; D013752:Tetracycline / Q000627:therapeutic use; D014031:Tobramycin / Q000627:therapeutic use
D008795:Metronidazole; D010402:Penicillin G Procaine; D009428:Netilmicin; D000667:Ampicillin; D013752:Tetracycline; D014031:Tobramycin