What are the thorough examination methods for pelvic peritonitis?

Patients with pelvic peritonitis should also pay attention to their diet during treatment and should not eat foods that affect the treatment effect. During the treatment period, patients should eat foods that are easy to digest and as light as possible. Do not eat foods that can irritate the body, foods that can easily trigger old diseases, and foods that have been chilled or not heated in winter. So, how can pelvic peritonitis be diagnosed?

1 Examination of male partners This is helpful for the diagnosis of pelvic peritonitis. The urethral secretions of the male partner can be directly smeared or cultured for gonorrhea. If positive, it is a strong evidence, especially in those who are asymptomatic or have mild symptoms. Or more white blood cells can be found. If all male partners of PID patients are treated, whether they have symptoms or not, it is obviously very meaningful to reduce recurrence.

2 If laparoscopy is not diffuse peritonitis and the patient is in general good condition, laparoscopy can be performed on patients with pelvic peritonitis or suspected pelvic peritonitis and other acute abdomen. Laparoscopy can not only make a clear diagnosis and differential diagnosis, but also make a preliminary judgment on the degree of pelvic peritonitis.

3Ultrasound examination mainly involves B-type or grayscale ultrasound scanning and filming. This technology has an 85% accuracy in identifying masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines. However, mild or moderate masses are difficult to show characteristics in B-type ultrasound images.

4 Posterior fornix puncture Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for acute abdomen. Through puncture, the contents of the abdominal cavity or the rectouterine fossa, such as normal peritoneal fluid, blood (fresh, old, clotted blood, etc.), purulent secretions or pus, can further clarify the diagnosis, and microscopic examination and culture of the punctured material are even more necessary.