Differential diagnosis of chronic pelvic peritonitis

Don't be careless if you have pelvic peritonitis. For your own health, you must adhere to the principle of early detection and early treatment. The differential diagnosis of pelvic peritonitis is also very important. Let's look at its differentiation and diagnosis from a clinical perspective. The editor below will give you a detailed introduction.

1. Clinical manifestations

1. Symptoms:

Symptoms of chronic pelvic inflammatory disease: Sometimes there is a low fever, sometimes fatigue. If the disease lasts for a long time, some patients will have neurasthenia.

Symptom 2 of chronic pelvic inflammatory disease: When there are scar adhesions and pelvic congestion, it can cause lower abdominal distension, pain and lumbar pain, which often worsens during fatigue, sexual intercourse and before and after menstruation.

Symptom three of chronic pelvic inflammatory disease: When there is pelvic congestion, you will have menstrual hyperplasia; when there is ovarian dysfunction, you will often have menstrual disorders.

2. Physical signs: Tension of abdominal muscles, obvious tenderness and rebound pain, especially in the lower abdomen, and the patient refuses to press. If paralytic ileus occurs, there may be signs such as intestinal flatulence, abdominal distension, weakened intestinal motility, and disappearance of bowel sounds. Bimanual examination: Cervical lifting pain, obvious tenderness in the uterus and fornix. Due to tension of abdominal muscles and refusal to press, it is difficult to touch the mass during examination.

2. Diagnosis and differential diagnosis

According to the medical history and clinical manifestations, the diagnosis is not difficult. However, pelvic peritonitis is mostly secondary, and the treatment principles vary greatly due to the different primary diseases. Therefore, it is important to distinguish whether it is the spread of secondary infections such as ovarian tumor torsion, tubal pregnancy hematoma, uterine fibroid necrosis, or the spread of acute pelvic infection, so as to facilitate timely and accurate treatment.