Use of laparoscopy to determine the microbiologic etiology of acute salpingitis.

Abstract:

:To determine the microbiologic etiology of acute salpingitis, laparoscopy was used in 26 patients to obtain specimens for a variety of microorganisms directly from the fallopian tube. Simultaneous culdocentesis was performed to obtain peritoneal fluid for microbiologic analysis. A variety of microorganisms were isolated from the fallopian tubes and cul-de-sac aspirate. However, the organisms isolated from the fallopian tube were not consistent with the cul-de-sac isolates. It appears that direct culture from the fallopian tube may be necessary to determine the microbiologic etiology and pathogenesis of acute salpingitis. N. gonorrhoeae was isolated from the cul-de-sac in 32 per cent of cases and the fallopian tube in 19 per cent. In patients with endocervical gonorrhea, the gonococcus was isolated from the fallopian tube in 38.5 per cent of cases. Aerobic and/or anaerobic bacteria were present in the cul-de-sac aspirate in 46 per cent of patients and in the fallopian tube in 38 per cent.

journal_name

Am J Obstet Gynecol

authors

Sweet RL,Mills J,Hadley KW,Blumenstock E,Schachter J,Robbie MO,Draper DL

doi

10.1016/0002-9378(79)90798-1

subject

Has Abstract

pub_date

1979-05-01 00:00:00

pages

68-74

issue

1

eissn

0002-9378

issn

1097-6868

pii

0002-9378(79)90798-1

journal_volume

134

pub_type

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