**Question:** Sequence of events, after salpingitis, in gonorrhoeal pelvic infection is: March 2013

**Core Concept:** Salpingitis is the inflammation of the fallopian tubes, which can lead to a gonococcal pelvic infection. Gonococcal infection is caused by Neisseria gonorrhoeae bacteria.

**Why the Correct Answer is Right:**

In the context of salpingitis, the sequence of events following the infection with Neisseria gonorrhoeae typically involves:

1. **A. Oviductal ova penetration by N. gonorrhoeae**: Gonococci can invade the oviducts and infect the fallopian tubes, leading to the initial infection site.
2. **B. Spread to adjacent organs**: As the infection progresses, it can extend to adjacent organs like the uterus, cervix, and the peritoneum, causing inflammation and damage.
3. **C. Omental involvement**: The infection can spread to the omentum, which is a layer of peritoneum surrounding the abdominal organs, potentially leading to abscess formation.
4. **D. Spread to the lymph nodes**: N. gonorrhoeae can spread to regional lymph nodes, causing inflammation and obstruction of the lymphatic vessels.

**Why Each Wrong Option is Incorrect:**

**Option A (omitted)**: The core concept in this question is the progression of the infection, not the initial penetration of the oviducts.

**Option D (omitted)**: While the spread to lymph nodes is an important aspect of the infection, the focus of this question is on the sequence of events after salpingitis.

**Option C (omitted)**: Although omental involvement is a possible complication, it is not the primary sequence of events following salpingitis.

**Option B (omitted)**: The primary focus is on the progression of the infection after salpingitis, and spreading to adjacent organs is not the main sequence of events.

**Clinical Pearl:** In the context of gonococcal pelvic infection, the primary focus is on the progression of the infection after salpingitis, particularly the sequence of events mentioned in the correct answer options. Prompt diagnosis and treatment are crucial to prevent complications like infertility, ectopic pregnancy, and tubo-ovarian abscess formation.