Pathology of the Adnexa

Question 1

Infrequently, a pelvic infection may ascend the right flank, causing perihepatic inflammation that may mimic liver, gallbladder, or right renal pain. This perihepatic inflammation is called the ___________ syndrome.

Answer 1

Fitz-Hugh-Curtis

Question 2

Sexually transmitted PID is spread via the _______ of the pelvic organs through the cervix into the pelvic cavity.

Answer 2

mucosa

Question 3

Infection in the uterine endometrium is known as _________; inflammation in the fallopian tubes is called acute ________.

Answer 3

endometritis, Salpingitis

Question 4

As the dilated tube becomes obstructed, it becomes filled with pus, a condition known as _________.

Answer 4

pyosalpinx

Question 5

Cinically, patients with pelvic inflammatory disease may present with intense pelvic _______ and tenderness described as dull and aching, with constant _______ discharge.

Answer 5

pain, vaginal

Question 6

An obstructed tube filled with serous secretions is a _______ ; This can occur as a result of PID, endometriosis, or postoperative adhesions.

Answer 6

hydrosalpinx

Question 7

Severe and chronic pyosalpinx often contains _______, _______ mucoid pus, which does not transit sound as well as serous fluid or blood.

Answer 7

thick, echogenic

Question 8

When periovarian adhesions that distort anatomy form, the ovary cannot be separated from the inflamed dilated tube and is called the _______ complex.

Answer 8

tubo-ovarian

Question 9

Inflammation of the peritoneum-the serous membrane lining the abdominal cavity and covering the viscera- is called ________

Answer 9

peritonitis

Question 10

Internal endometriosis is called _________ and occurs within the uterus. External endometriosis is called __________ and occurs outside the uterus, for example, in the pouch of Douglas, surface of the ovary and fallopian tube and uterus, broad ligaments, and rectovaginal septum.

Answer 10

adenomyosis, endometriosis

Question 11

Endometriomas may appear as bilateral or unilateral ovarian cysts with patterns ranging from _________ to ________, depending on the amount of blood and its organization.

Answer 11

anechoic, solid

Question 12

Pain and development of a pelvic mass after pelvic surgery can indicate complications such as postoperative __________, ___________, or __________ formation.

Answer 12

bleeding, hematomas, abscess