Pathology Of Fallopian Tube

Question 1

PID etiology 2 types

Answer 1

Gonococcal caused by N gonnorhea
Non gonococcal caused by chlaymdia- streptococci- staphylococci.

Question 2

Where does infection start in gonococcal PID and mention the pathology ?

Answer 2

Infection starts first at bartholins gland, endocervical gland or paraurethral gland
Tube ovarian abscess pyosalpinx, infiltration of leukocytes, healing by fibrosis causes tubal narrowing- cilia destruction and Ectopic pregnancy or infirtility

Question 3

Non gonococcal infection pathogenesis/ cause ?

Answer 3

It is caused by induced labor, abortion, or surgical procedure.
Patho-> it spreads upwards in the uterus by the lymphatics and venous channels which cause deeper layer inflammation

Question 4

Complications of PID?

Answer 4

Peritonitis, tubal obstruction bowel obstruction, bactremia, ectopic pregnancy and infirtility

Question 5

Ectopic pregnancy causes and gross ?

Answer 5

Cause: PID- Peri tubal scarring- use of intrauterine contraceptive.
Gross hematosalpinx, uterine tubes has fetal parts and placental tissue

Question 6

Microscopy, clinical and complications of ectopic pregnancy ?

Answer 6

Micro: Placental villi in uterine tubes.
Clinical: severe abdominal pain and vaginal bleeding 6-8 weeks from last menstrual cycle
Comps: rupture/haemorrhagic shock