Ultrasonographically guided transvaginal aspiration of tuboovarian abscesses and pyosalpinges: an optional treatment for acute pelvic inflammatory disease.
OBJECTIVE
Our purpose was to assess the value of ultrasonographically guided transvaginal aspiration of tuboovarian abscesses and pyosalpinges presenting with the clinical picture of acute pelvic inflammatory disease.


METHODS
Fifteen patients seen for acute pelvic inflammatory disease were treated by ultrasonographically guided transvaginal aspiration of pus from tuboovarian abscesses and pyosalpinges, followed by local and systemic administration of antimicrobal therapy.


RESULTS
Improvement of symptoms followed aspiration in all patients. Temperature dropped to normal within 24 to 72 hours, and pain completely disappeared within 3 days. All patients were symptom free during a follow-up period of 6 months after aspiration.


CONCLUSIONS
Ultrasonographically guided transvaginal aspiration of pyosalpinges and tuboovarian abscesses is an effective, simple, and safe treatment. It avoided the need for laparoscopy or laparotomy.
Aboulghar
M A
MA
Egyptian In Vitro Fertilization-Embryo Transfer Center, Cairo University, Egypt.
Mansour
R T
RT
Serour
G I
GI
D000038:Abscess / Q000000981:diagnostic imaging / Q000601:surgery*; D000208:Acute Disease; D000328:Adult; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010049:Ovarian Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D000292:Pelvic Inflammatory Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D012488:Salpingitis / Q000000981:diagnostic imaging / Q000601:surgery*; D013396:Suction / Q000379:methods; D014463:Ultrasonography