What tests are needed for pelvic peritonitis

Pelvic peritonitis is one of the most common gynecological inflammations in women, and is divided into acute and chronic types. If a patient has symptoms such as lower abdominal pain, increased vaginal discharge, and irregular menstruation, they should be concerned that they may have pelvic peritonitis. However, it is difficult to determine whether it is pelvic peritonitis based on symptoms alone. To diagnose pelvic peritonitis, a regular gynecological examination is required.

1. Ultrasound examination

Mainly B-type or grayscale ultrasound scanning and filming, this pelvic peritonitis examination technology has an 85% accuracy in identifying masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines. However, mild or moderate pelvic peritonitis is difficult to show characteristics in B-type ultrasound images.

2. Physical examination

The patient presents with acute illness, fever, accelerated heart rate, abdominal distension, and tenderness in the lower abdomen. When pelvic peritonitis 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. Laparoscopy

If it is not diffuse peritonitis and the patient's general condition is good, 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.

4. Posterior fornix puncture

It is one of the most commonly used and valuable methods for diagnosing pelvic peritonitis in gynecological acute abdomen. The contents of the abdominal cavity or the uterine rectal fossa obtained through puncture, 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.