Intra-abdominal collections

The female reproductive system is composed of the external and internal genitalia. The external genitalia (Fig. 2-1) are collectively termed the pudendum or vulva and are directly visible. The internal genitalia include the vagina, cervix, uterus, uterine (fallopian) tubes, and ovaries (Figs. 2-2 and 2-3). Special instruments are required for inspection of the internal genitalia.

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Diagnosis Scanning procedures have considerably facilitated the diagnosis of intraabdominal abscesses. Abdominal CT probably has the highest yield, although ultrasonography is particularly useful for the right upper quadrant, kidneys, and pelvis. Both indium-labeled WBCs and gallium tend to localize in abscesses and may be useful in finding a collection. Since gallium is taken up in the bowel, indium-labeled WBCs may have a slightly greater yield for abscesses near the bowel.

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