How to diagnose female pelvic peritonitis

What tests do regular hospitals do when diagnosing pelvic peritonitis? Most women know that pelvic peritonitis is quite serious, so when they have symptoms of pelvic peritonitis, they also want to go to the hospital for examination in time. So, what tests do regular hospitals do when diagnosing pelvic peritonitis? Experts have introduced this. Tests to be done to diagnose pelvic peritonitis:

1. General symptom examination: There are certain symptoms after suffering from pelvic peritonitis. Acute symptoms include high fever, chills, headache, loss of appetite and lower abdominal pain. Chronic symptoms also include mild lower abdominal pain, back pain, and lower abdominal distension. It often worsens after fatigue and sexual intercourse, with increased menstruation and leucorrhea.

2. Physical examination: Patients with pelvic peritonitis generally present with acute illness, fever, increased heart rate, abdominal distension, and tenderness in the lower abdomen. When the lesion spreads to the abdominal cavity, peritoneal irritation signs are positive, the whole abdomen is tender, rebound pain, and muscle tension, and bowel sounds are weakened or disappeared.

3. Medical history diagnosis and examination: Patients with pelvic peritonitis often have risk factors for pelvic peritonitis, such as recent gynecological and obstetric surgery history, including childbirth, cesarean section, artificial abortion, intrauterine device placement, etc., history of sexual intercourse during menstruation, or unclean sexual intercourse, accompanied by inflammation of the lower reproductive tract and adjacent organs.

4. Gynecological pelvic examination: The vagina may be congested and have a large amount of purulent and smelly secretions; the cervix may be congested and edematous. If purulent secretions are seen flowing out of the cervical opening, it means that there is acute inflammation in the cervical canal mucosa or uterine cavity.

Since endometrial tuberculosis is mostly spread from the fallopian tubes, care should be taken to scrape the endometrium of the uterine horns during curettage, and all scrapings should be sent for pathological examination. If typical tuberculosis nodules are found on the pathological sections, the diagnosis can be established, but a negative result cannot rule out the possibility of tuberculosis. If the uterine cavity is small and hard, and no tissue is scraped out, combined with clinical history and symptoms, endometrial tuberculosis should also be considered and further examination should be performed. If there is suspicion of tuberculosis in the cervix, a biopsy can confirm the diagnosis.