Sonography of PID with Tx
l Complex fluid and inflammation can
resolve in a few days.
l Pyosalpinx can change to hydrosalpinx
and possibly resolve over few weeks to
months
l Study of Taipale,etal found 9 of 55 pts with
clinical PID and initial normal sonogram
developed a hydrosalpinx over time.
l If a pyosalpinx does not resolve or
develops into a hydrosalpinx, probably
signifies an incompletely treated infection