What are the clinical manifestations of patients with acute adnexitis?

Acute adnexitis is an inflammation of both salpingitis and oophoritis. The most common clinical manifestations of patients include fever, abdominal pain, and acute illness.

Clinical manifestations of patients with acute adnexitis

Fever: High fever occurs at the onset, 39℃～40℃, and there may be chills or shivering, followed by irregular remittent fever. If the inflammatory lesions are isolated due to adhesion, the body temperature can drop quickly; if the high fever drops once and then rises again, it indicates that the inflammation has spread or purulent lesions have formed. The pulse rate acceleration is proportional to the body temperature. If the two are not proportional, the inflammation may be widely spread.

Abdominal pain: initially limited to lower abdominal pain, mostly bilateral, rarely vomiting. Different from the metastatic pain of appendicitis. In addition, abdominal pain worsens during bowel movements, sometimes accompanied by urinary pain, often with constipation and abdominal distension. The presence of mucus in the stool is the result of inflammatory stimulation of the colon wall.

General condition: acute illness, facial flushing, general condition is good. Pulse does not exceed 100 beats/minute. If the course of the disease is prolonged, the general condition will deteriorate after the presence of purulent lesions, weakness, pulse>100 beats/minute, sweating, and yellow complexion.

Signs: Significant tenderness in the lower abdomen, most obvious 1.5 cm to 2 cm above the midpoint of the inguinal ligament. In severe cases, the patient refuses to be pressed, the abdominal muscles are rigid, and rebound pain is obvious. Gynecological examination shows purulent vaginal discharge and varying degrees of redness and swelling of the cervix. Bimanual examination shows severe cervical lifting pain, and the pelvic condition is difficult to ascertain due to tense abdominal muscles.