How to correctly diagnose pelvic peritonitis

Among gynecological diseases, pelvic inflammatory disease is a common gynecological disease, and among various pelvic inflammatory diseases, pelvic peritonitis has the most obvious symptoms. How to diagnose pelvic peritonitis promptly and correctly through symptoms and examinations is the topic we need to discuss next.

Abdominal pain and fever are the most common symptoms of pelvic peritonitis. Generally, patients experience abdominal pain after fever. Due to different pathogenic factors, some patients experience both symptoms at the same time. Fear may occur before and during high fever. Abdominal pain often manifests as bilateral lower abdominal pain, and sometimes only one side has more severe pain. Patients often refuse to perform massage examinations because of the severe pain when pressing the abdomen. If the right side is more severe, it may be misdiagnosed as acute inflammation.

At the beginning of the disease, the patient showed dry mouth, headache, thirst, and pulse rate was obviously faster than normal. In addition, there were symptoms such as increased leucorrhea, menstrual disorders, or irregular vaginal bleeding. A few patients had abdominal distension and bladder irritation symptoms such as frequent urination and urgency. The patient had acute illness, body temperature above 38℃, even 40℃ or higher, tenderness and rebound pain in the entire lower abdomen, which could be seen in gynecological examination. The pelvic tissue seemed to have edema and severe tenderness. The cervix discharged purulent secretions, and the cervix was painful. The size and position of the uterus were difficult to check due to the tension of the abdominal muscles, and the tenderness was obvious. Blood tests were performed: white blood cells and neutrophils could reach 2.5×109L, the cells were significantly increased, and the sedimentation rate was accelerated, which could reach 20-30 mm per hour. Posterior fornix puncture can extract inflammatory exudate.

By introducing the physical symptoms and changes in body functions of pelvic peritonitis, I believe that readers have a certain understanding of pelvic peritonitis. Through correct diagnosis and prevention, we hope to help patients effectively control the disease and recover health as soon as possible.

For more information, please visit the pelvic inflammatory disease special topic at http://www..com.cn/fuke/pqy/ or consult an expert for free. The expert will then give a detailed answer based on the patient's specific situation.