What diseases should be differentiated from acute pelvic inflammatory disease

Many female friends have backache and abdominal pain, especially during menstruation, which is more serious. If it lasts for a long time, it is necessary to consider whether it is pelvic inflammatory disease. However, many people still don’t know much about pelvic inflammatory disease. Let’s take a closer look at what diseases should be differentiated from acute pelvic inflammatory disease?

Acute pelvic inflammatory disease should be differentiated from acute abdomen such as acute appendicitis, aborted or ruptured tubal pregnancy, torsion or rupture of ovarian cyst pedicle.

1. Acute appendicitis

Right-sided acute salpingo-oophoritis is easily confused with acute appendicitis. There are often gastrointestinal symptoms before the onset of acute appendicitis, such as nausea, vomiting, diarrhea, etc. The abdominal pain mostly occurs around the navel and then gradually fixes to the right lower abdomen. During examination, there is tenderness only at McBurney's point. The degree of increase in body temperature and white blood cell count is not as high as that of acute salpingo-oophoritis. For patients with acute salpingo-oophoritis on the right side, there is often obvious tenderness below McBurney's point. Gynecological examination often shows tenderness in the cervix and tenderness in both sides of the adnexa.

2. Ovarian tumor pedicle torsion

It often occurs after the active mass, severe lower abdominal pain occurs after defecation, etc. After the ovarian tumor is torsion, there is often bleeding in the cyst cavity, the tumor increases, and there is fever. Inquiring about the medical history and B-ultrasound examination are helpful for diagnosis.

3. Ectopic pregnancy or rupture of ovarian corpus luteum cyst

Acute lower abdominal pain and intra-abdominal bleeding may occur. The patient will look pale, acutely ill, and even go into shock. Posterior vaginal fornix puncture can extract dark red, non-coagulated blood. Ectopic pregnancy may also have a history of amenorrhea and vaginal bleeding. Urine HCG is often positive. Laparoscopic examination can confirm the diagnosis.