CT Findings in Acute PID
l Early: thickening of utero-sacral
ligaments, haziness of pelvic fat.
Thickened tubes, enlarged enhancing
ovaries, increased endometrial
enhancement with fluid
l Advanced: Pyosalpinx, tubo-ovarian
abscess
l Adjacent structures: ileus,
hydonephrosis, Fitz-Hugh-Curtis
syndrome (inflammation of right upper
quadrant)