Successful pregnancy outcome following first trimester pelvic inflammatorydisease

Pelvic inflammatory disease rarely complicates pregnancy Although few in nu mber, most of the previously reported cases have resulted in spontaneous ab ortion or intrauterine fetal demise. At 5 weeks gestation, a 20 year old gr avida 2 para 1 underwent uterine curettage and diagnostic laparoscopy for a suspected ectopic gestation. Seventeen days later, she presented with seve re bilateral lower abdominal pain, cervical motion tenderness, uterine tend erness, and bilateral adnexal tenderness. After 84 hours of intravenous cef azolin, gentamycin, and clindamycin, the patient had resolution of all symp toms. She then completed 14 days of outpatient antibiotic therapy with oral cephalexin. At 39 weeks gestation, she delivered a 3611 g male fetus via s pontaneous vaginal delivery Successful pregnancy outcome can occur after fi rst trimester pelvic inflammatory disease.