What are the examination items for pelvic peritonitis?

Core Tip: Female pelvic genital inflammation is often accompanied by pelvic peritonitis of varying degrees. In severe cases, the entire pelvic peritoneum undergoes inflammation changes, and in rare cases, it can even spread to the entire abdomen, becoming diffuse peritonitis. If you have pelvic peritonitis, you should go to a regular hospital for examination. Pelvic peritonitis examinations include physical examinations, imaging diagnosis, laboratory diagnosis, etc.

Symptoms of pelvic peritonitis:

The patient has a high fever and chills, with a body temperature of 40°C or above. There is severe cramp-like lower abdominal pain, which is persistent, often accompanied by nausea and vomiting, which is aggravated by activity; there is pain during urination and defecation, and sometimes diarrhea or constipation. The patient likes to lie with his legs bent to relieve the tension and pain of the abdominal wall. In severe cases, irritability, systemic exhaustion, and even confusion, delirium, and coma may occur.

Pelvic peritonitis examination:

Physical examination: acute illness appearance, fever, obvious tenderness, rebound pain or board-like abdomen in the lower abdomen. Gynecological examination: the vaginal mucosa may show congestion. There is purulent secretion at the cervix. The fornix is ​​obviously tender during bimanual examination. If there is a uterine rectal fossa abscess, the tenderness of the posterior fornix is ​​more obvious or a sense of fullness and fluctuation can be felt. During anal examination, the fluctuating bulge can be felt on the anterior wall of the rectum. Image diagnosis: Ultrasound examination: When an abscess is formed, a tumor can be detected by B-type ultrasound examination. Its outline is mostly irregular, with dense echoes around it and an echo-free area inside.

Laboratory diagnosis: Abdominal puncture and posterior fornix puncture can extract fluid, which is mostly light yellow, thin, bloody fluid. Yellow exudate or pus can be sent to the laboratory for examination or bacterial culture. The number of peripheral blood white blood cells and neutrophils are increased, and the erythrocyte sedimentation rate is accelerated. Pathogenic bacteria can be cultured from cervical secretions or blood cultures.

The above is an introduction to the examination items for pelvic peritonitis. I hope it will be helpful to you.