Essential features for diagnosis of this condition include the following:
- History of STI or pelvic infection
- Lower abdominal and pelvic pain
- Nausea and vomiting
- Tender adnexal mass
- Fever and tachycardia
- Rebound tenderness
- Haemogram, ESR
- Urea and electrolytes
- Blood sugar
- Group and cross-match
- Give parenteral broad spectrum antibiotics ceftriaxone 1g BD IV + gentamycin
80mg TDS IV, metronidazole 500mg TDS IV, for 3–7 days. Then change to
- Carry out appropriate surgery: Laparotomy and drainage/excision.
- Initiate physiotherapy.