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Ovarian Histology in Pelvic Inflammatory Disease

From the Department of Obstetrics and Gynecology at Pennsylvania Hospital and University of Pennsylvania School of Medicine, Philadelphia. Pennsylvania

Abstract

The decision to perform oophorectomy when pelvic surgery is complicated by inflammatory disease requires some knowledge of the expected ovarian histopathology. To aid in this evaluation, the hospital records and histology of the surgical specimens of 40 patients who underwent oophorectomy with the pathologic diagnosis of pelvic inflammatory disease (PID) were reviewed. Of 70 ovaries removed from these patients, 28 were histologically normal and free of inflammatory involvement. Women who described a history of irregular menses or whose gynecologic history and gross surgical pathology indicated chronic PID had a higher incidence of ovarian pathology than women with normal menstruation or only acute PID. These features may assist in planning the extent of pelvic surgery in selected patients.