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to assess the impact of endometriosis in the course of women hospitalized due to PID. retrospective case-control study. tertiary referral center for endometriosis. women that were hospitalized due to PID between June January 1st 2021 to September 30st 2023. Patients with endometriosis were compared to patients without endometriosis. Diagnosis of endometriosis was suspected at the time of admission and confirmed with a subsequent ultrasound by an expert sonographer. a total of 132 patients aged between 18-50 were included. 35 women (26.5%) were diagnosed with endometriosis. Mean age in the endometriosis group was 37.2 (SD + 7.4) vs 31.9 (SD + 9.1) in the no endometriosis group. Women with endometriosis were more likely to experience a severe and complicated course of PID with longer duration of hospitalization (6.1 + 4.3 vs 4.3 + 2.4 days, p<0.05) and higher rate of antibiotic treatment failure (12/35 (34.2%) vs 18/97 (18.5%)) compared to patients without endometriosis. Readmission rate was higher in the endometriosis group (28.5% vs 8.1%, p<0.05) and they required more frequently surgical intervention (11.4% vs 6.1%). However, it did not reach statistical significance. A positive cervical or vaginal bacterial culture or polymerase chain reaction (PCR) for sexually transmitted disease (C. trachomatis, Mycoplasma or N. gonorrhoeae) was found to be significantly higher (34.9% vs 2.9%, p<0.05) in patients without endometriosis. according to our results, women with endometriosis are at increased risk for a severe course of PID compared with non-endometriosis patients, requiring more often longer hospitalization, adjustments in antibiotic treatment and urgent surgical intervention. Our results also suggest that PID in women with endometriosis is less likely to be caused by a sexually transmitted disease bacteria, thus, suggesting a different mechanism of pathogenesis. [ABSTRACT FROM AUTHOR]

Study Objective: To compare the accuracy of transvaginal ultrasound (TVUS) with and without bowel preparation (BP) to detect and describe intestinal nodules of deep infiltrating endometriosis (DIE) with laparoscopic findings.Design: A prospective study of paired data (Canadian Task Force classification II.1).Setting: A tertiary university hospital from November 2014 to November 2015.Patients: A cohort of women awaiting surgery for endometriosis.Interventions: The wall of the rectum and the lower sigmoid colon of the patients were evaluated by 2 TVUSs: the first ultrasound was performed without previous BP, and the second was done after a 3-day low-residue diet and two 250-mL enemas 12 hours and 3 hours before TVUS.Measurements and Main Results: The presence or absence of rectosigmoid nodules visualized by TVUS with and without BP was compared with laparoscopic results. Forty patients with a mean age of 36.8 ± 5.0 years were included in the study. By comparing the surgical findings histologically confirmed (the presence or absence of bowel nodules and localization) with those of the 2 TVUSs with and without BP, the sensitivity, specificity, and Cohen kappa were 100%, 96%, and 0.95 and 73%, 88%, and 0.61, respectively. Laparoscopy showed that up to 37.5% of patients (15/40) presented bowel involvement. Variables were clearly more evaluable with than without BP.Conclusion: TVUS with BP has a higher accuracy than TVUS without BP. BP allows and facilitates the detection of more rectal nodules of DIE in patients with suspected endometriosis and surgical criteria. [ABSTRACT FROM AUTHOR]

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