What is pelvic peritonitis

Pelvic peritonitis is a disease caused by severe infection of organs in the pelvic cavity. It may be related to women's lack of hygiene during menstruation, acute salpingitis, etc. This disease seems to be very serious, but many people still don't know much about pelvic peritonitis. Let's take a look at what pelvic peritonitis is.

What is pelvic peritonitis?

When the pelvic organs are seriously infected, the pathogens can spread through the blood or lymphatic system or directly spread to the pelvic peritoneum, which is called pelvic peritonitis. Pelvic peritonitis often coexists with other pelvic organ infections, especially salpingitis, which is the most common.

What causes pelvic peritonitis?

1. Not paying attention to hygiene

Such as not paying attention to menstrual hygiene, having sex during menstruation, unclean sexual intercourse, etc.

2. Unsterilized intrauterine operation

Such as vacuum extraction, obstetric surgery infection due to poor disinfection, etc.

3. Spread of acute fallopian tube inflammation

When the fallopian tube is acutely inflamed, pus in the lumen overflows through the fallopian tube opening or perisalpingitis directly spreads, causing inflammatory lesions of the pelvic peritoneum.

4. Secondary to pelvic cellulitis

Pelvic cellulitis refers to inflammation of connective tissue outside the pelvic peritoneum. The pelvic connective tissue includes connective tissue on both sides of the uterus and in front of the bladder, as well as connective tissue behind the pelvic peritoneum.

5. Other surgical diseases

If appendicitis or diverticulitis perforates, it can spread and cause pelvic peritonitis.

Symptoms of pelvic peritonitis

Symptom 1

At the beginning of the disease, the patient will experience dry mouth, headache, thirst, and a significantly faster pulse than normal. There will also be symptoms such as increased vaginal discharge, menstrual disorders, or irregular vaginal bleeding.

Symptom 2

Abdominal pain and fever are the most common symptoms of pelvic peritonitis. Generally, patients experience abdominal pain after fever. Due to different pathogenic factors, some patients may experience both symptoms at the same time. Chills may occur before and during high fever. Abdominal pain is often bilateral lower abdominal pain, and sometimes only one side has more severe pain. Patients often refuse to undergo massage examination because of the severe pain when pressing the abdomen.

Symptom three

A small number of patients experience abdominal distension and bladder irritation symptoms such as frequent urination and urgency.

Symptom 4

The pelvic tissue seems to be edematous and has severe tenderness; purulent secretions are discharged from the cervix, and the cervix is ​​painful when lifted. The size and position of the uterus are difficult to check due to the tense abdominal muscles, and the tenderness is obvious. Blood tests: white blood cells and neutrophils can reach 2.5×109L, the cells are significantly increased, and the sedimentation rate is accelerated, which can reach 20-30 mm per hour. Posterior fornix puncture can extract inflammatory exudate.