Department of Medical Imaging, Hôpital Tenon, Hopitaux Universitaires Paris-Est, Assistance Publique des Hôpitaux de Paris, Université Pierre-et-Marie-Curie, 4, rue de la Chine, 75020 Paris, France.
Diagn Interv Imaging. 2012 Jun;93(6):491-9. doi: 10.1016/j.diii.2012.04.002. Epub 2012 May 28.
The diagnosis of pelvic infection is most often made clinically, based on a combination of pelvic pain and fever, and possibly a foul discharge. The patient is referred to radiology in two very different circumstances: either in the acute phase where the challenge is to differentiate a pelvic infection from appendicitis, urinary tract infection, and complications of a hemorrhagic luteal cyst; or some time after the infectious episode, which may have gone unnoticed, and the patient presents with an undetermined pelvic mass that needs to be characterized, where the challenge in that situation is not to confuse it with ovarian cancer. The signs and symptoms on the pelvic ultrasound, CT scan, and MRI suggest the correct diagnosis.
盆腔感染的诊断通常是基于临床症状，即盆腔疼痛和发热，可能还有恶臭分泌物。患者会因为两种截然不同的情况被转诊到放射科：一种是在急性期，需要区分盆腔感染与阑尾炎、尿路感染和黄体血肿的并发症；另一种是在感染发作后一段时间，可能已经被忽略，患者出现不明原因的盆腔肿块，需要进行特征描述，在这种情况下，挑战在于不将其与卵巢癌混淆。盆腔超声、CT 扫描和 MRI 的影像学表现有助于提示正确的诊断。
