The capabilities of ultrasound study in the diagnosis of inflammatory diseases in women with chronic pelvic pain

2017 ◽  
pp. 57-60
Author(s):  
S.T. Ibadova ◽  

The objective: аn ultrasound study and analysis of the main echographic signs of inflammatory diseases of the uterus and adnexa in women with chronic pelvic pain. Patients and methods. Echographic examination of organs of small pelvis in 3D-mode was performed in 41 women, of which 25 (61.0%) patients with suspected inflammatory process of uterine appendages (oophoritis, salpingitis, tubo-ovarian education), 6 (14.6%) – inflammation of the uterus (endometritis) and 10 (24.4%) – inflammation of the cervix. Results. Found that in inflammatory diseases of the uterine appendages, in addition to the specific sonographic features, there is a common ultrasound markers of this process in the pelvis. These include pain in the study, the presence of fluid in the pelvic cavity, small, often moving hyperechoic inclusions with acoustic phenomenon, as well as peritoneal adhesions detected on the background fluid. Conclusions. For patients with endometritis was characterized by a heterogeneous structure of the endometrium, which is the presence of multiple mixed anechoic and hypoechoic inclusions, with a clear outline and the lack of it. For patients with endocervicitis was characterized by a heterogeneous structure of the mucosa, which was in the plural mixed anechoic and hypoechoic inclusions, having a clear contour. Key words: inflammatory diseases of the pelvic organs, pelvic pain, ultrasound.

1970 ◽  
Vol 1 (2) ◽  
pp. 109-126 ◽  
Author(s):  
Pietro Castelnuovo-Tedesco ◽  
Boyd M. Krout

Three groups of women of different socioeconomic extraction, some with and some without chronic pelvic pain, were studied gynecologically and psychiatrically. Regardless of the presence or absence of organic pelvic pathology, pelvic pain patients showed considerable psychopathology clinically and by psychological testing, mainly mixed character disorders with predominant schizoid features. They usually were eager to undergo hysterectomy. Those who received a hysterectomy generally became pain-free, but often they seemingly substituted for it other symptoms (mostly psychological). Pelvic pain patients of different socioeconomic extraction had similar psychological characteristics. A central conclusion is that chronic pelvic pain appears more closely related to the presence of psychiatric disturbance, which is a constant finding, than to the presence of organic pelvic pathology, which is an inconstant finding.


Pain Medicine ◽  
2012 ◽  
Vol 13 (6) ◽  
pp. 777-789 ◽  
Author(s):  
Vitaly Napadow ◽  
Robert R. Edwards ◽  
Christine M. Cahalan ◽  
George Mensing ◽  
Seth Greenbaum ◽  
...  

1981 ◽  
Vol 10 (1) ◽  
pp. 79-96 ◽  
Author(s):  
Robert J. Gross ◽  
Hans Doerr ◽  
Della Caldirola ◽  
Gay M. Guzinski ◽  
Herbert S. Ripley

Twenty-five gynecologic patients with chronic pelvic pain were evaluated in a multi-disciplinary study. Gynecologic evaluation revealed most patients had normal pelvic exams. Psychiatric evaluation showed all of the patients to have significant psychopathology, with Borderline Syndrome, and Hysterical Character Disorder the most frequent diagnoses. A significant incidence of early childhood family dysfunction and incest were found. Psychological testing corroborated the high incidence of severe psychopathology.


2016 ◽  
pp. 19-27
Author(s):  
V. Pyrohova ◽  
◽  
S. Shurpyak ◽  
N.I. Zhemela ◽  
L. Holota ◽  
...  

Lviv national medical University named Danylo Galitsky In the article there are the lighted up questions of terminology, classification, diagnostics and treatment of syndrome of chronic pelvic pain. The features of diagnostics and differentiation process are considered in relation to the syndrome of chronic pelvic pain in gynecological practice. An accent is done, that treatment of chronic pelvic pain is fully determined a verification of basic disease, if it be impossible to find out primary cause (idiopathic genesis of chronic pelvic pain), symptomatic therapy is conducted. Key words: chronic pelvic pain, pelvic venocongestion, genital endometriosis, dysmenorrhea, pelvic inflammatory diseases.


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