{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:20:32Z","timestamp":1788326432299,"version":"build-2803163510"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ultrason Med"],"published-print":{"date-parts":[[2026,8]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Diagnosis of acute and chronic pelvic inflammatory disease continues to be a challenge despite advances in investigative procedures. Complications of PID include infertility, chronic pelvic pain and ectopic pregnancy. Currently, transvaginal ultrasonography is primarily used to detect tubo\u2010ovarian abscesses (TOA) or pyosalpinx. We present a case where dynamic transvaginal ultrasound can detect filmy adhesions in the posterior the cul\u2010de\u2010sac corresponding to surgically confirmed PID.<\/jats:p>\n <\/jats:sec>\n \n Key Findings<\/jats:title>\n A 19\u2010year\u2010old nulliparous female with chronic pelvic pain and presumed endometriosis underwent an advanced pelvic ultrasound demonstrating an anteverted uterus, a normal right ovary with mild thickening and erythema of the right fallopian tube, and a normal left ovary and fallopian tube. There were no signs of adhesions within the anterior compartment. A positive sliding sign was noted, suggesting a non\u2010obliterated cul\u2010de\u2010sac. However, multiple filmy adhesions were detected along the right rectouterine pouch, aided by the presence of pelvic\u2010free fluid. There were no findings of hydro\/pyosalpinx or TOA. Using ultrasound, deep and ovarian endometriosis were also ruled out. During surgical evaluation, there were clear findings of PID, including filmy adhesions within the rectouterine pouch and Fitz\u2013Hugh\u2013Curtis adhesions in the right upper quadrant.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Given this unique finding, we propose using transvaginal ultrasonography to enhance the diagnosis of chronic PID for patients suffering from pelvic pain. While superficial endometriosis can also present with similar findings, we believe there is a quantification difference whereby PID presents with more diffuse adhesions in the absence of other features of endometriosis.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ajum.70050","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T05:46:26Z","timestamp":1781675186000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transvaginal Ultrasonography for Detection of\n PID<\/scp>\n \u2010Related Adhesions: A Case Report"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6409-4689","authenticated-orcid":false,"given":"Anisha","family":"Dubey","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Queen's University Kingston Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ido","family":"Mick","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Marien","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5538-6906","authenticated-orcid":false,"given":"Mathew","family":"Leonardi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Canada PHA of \u201cSTI\u2010Associated Syndromes Guide: Pelvic Inflammatory Disease \u201d(2021) https:\/\/www.canada.ca\/en\/public\u2010health\/services\/infectious\u2010diseases\/sexual\u2010health\u2010sexually\u2010transmitted\u2010infections\/canadian\u2010guidelines\/sti\u2010associated\u2010syndromes\/pelvic\u2010inflammatory\u2010disease.html."},{"key":"e_1_2_10_3_1","volume-title":"StatPearls","author":"Jennings L. K.","year":"2024"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiab116"},{"issue":"6","key":"e_1_2_10_5_1","first-page":"357","article-title":"Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention","volume":"100","author":"Curry A.","year":"2019","journal-title":"American Family Physician"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.29288"},{"key":"e_1_2_10_7_1","unstructured":"T.Radswiki \u201cPelvic Inflammatory Disease | Radiology Reference Article | Radiopaedia.org \u201dhttps:\/\/radiopaedia.org\/articles\/pelvic\u2010inflammatory\u2010disease."},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469\u20100705.1998.12010056.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469\u20100705.2001.00353.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.08.051"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm7110379"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2022.02.098"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S440110"}],"updated-by":[{"DOI":"10.1002\/ajum.70060","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000}}],"container-title":["Australasian Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajum.70050","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ajum.70050","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajum.70050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T09:13:10Z","timestamp":1787649190000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajum.70050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,16]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/ajum.70050"],"URL":"https:\/\/doi.org\/10.1002\/ajum.70050","archive":["Portico"],"relation":{},"ISSN":["1836-6864","2205-0140"],"issn-type":[{"value":"1836-6864","type":"print"},{"value":"2205-0140","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,16]]},"assertion":[{"value":"2025-11-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70050"}}