title: [Diagnosis of pelvic inflammatory disease. Which clinical and paraclinical criteria? Role of imaging and laparoscopy?].
abstract: Diagnosis of pelvic inflammatory disease is difficult. We focus on a systematic literature review to study diagnostic values of history-taking, clinical examination, laboratory tests and imagery. After this literature review, we build a diagnostic model for pelvic inflammatory disease. This diagnostic model is built on two major criteria: presence of adnexal tenderness or cervical motion tenderness. Additional minor criteria, increasing the likelihood of the diagnosis of pelvic inflammatory disease were added based on their specificity and their positive likelihood ratio. These minor criteria are supported by history-taking, clinical examination, laboratory tests and also on relevant ultrasonographic criteria.
authors.affiliation: Unité de recherche épidémiologique en santé périnatale et en santé des femmes et des enfants, Inserm U953, hôpital Cochin, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Bouquier
authors.forename: A
authors.initials: A
authors.lastname: Fauconnier
authors.forename: W
authors.initials: W
authors.lastname: Fraser
authors.forename: A
authors.initials: A
authors.lastname: Dumont
authors.forename: C
authors.initials: C
authors.lastname: Huchon
mesh_terms: D000293:Adolescent; D000328:Adult; D002584:Cervix Uteri; D002690:Chlamydia Infections / Q000453:epidemiology; D002692:Chlamydia trachomatis; D003952:Diagnostic Imaging; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D010535:Laparoscopy; D007973:Leukorrhea; D016239:MEDLINE; D008796:Metrorrhagia; D010173:Palpation; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis* / Q000382:microbiology; D017699:Pelvic Pain; D055815:Young Adult