What are the symptoms of acute pelvic inflammatory disease with a mass?

Symptoms of acute pelvic inflammatory disease with a mass include lower abdominal pain, fever, abnormal vaginal discharge, and a palpable lower abdominal mass. You need to see a doctor as soon as possible for a clear diagnosis and treatment. Depending on the symptoms and individual differences, antibiotics, surgical drainage, or other supportive treatments may be chosen for treatment.

1 Causes of acute pelvic inflammatory mass formation

Acute pelvic inflammatory disease is an acute inflammation of pelvic organs such as the uterus, fallopian tubes, ovaries, and surrounding connective tissues caused by pathogen infection. The mass is usually caused by tissue edema and infection after abscess formation or severe lesions. The following are the specific causes:

Infectious pathogens: Mostly bacteria or pathogens that infect the reproductive tract ascending, such as Neisseria gonorrhoeae, Chlamydia, etc. After the infection spreads, it leads to tissue suppuration and the formation of abscesses.

Inflammatory response: Swelling of the fallopian tubes or ovaries due to inflammation, forming areas of dense or fibrotic masses.

Local anatomical characteristics: The female pelvic anatomy is relatively complex, and infection can easily remain in the effusion area, further aggravating the inflammation.

2 Common symptoms

Lower abdominal pain: Patients usually feel persistent heaviness or tenderness in one or both sides of the lower abdomen. This pain may be aggravated by walking, defecation or strenuous movement.

Fever and fatigue: Most patients have fever, with body temperature rising to above 38°C, accompanied by symptoms such as chills and general fatigue.

Abnormal leucorrhea: Increased leucorrhea accompanied by foul odor, purulent or mixed with blood.

Palpable mass: Sometimes doctors can find a tender mass in the lower abdomen during a physical examination or through ultrasound.

3 Treatment methods and suggestions

For the treatment of acute pelvic inflammatory disease complicated with masses, it is necessary to carry out comprehensive treatment with multiple plans in a targeted manner according to the severity of the disease:

Drug treatment:

Antibiotics are usually the most basic treatment. Commonly used antibiotics include cephalosporins such as ceftriaxone combined with metronidazole or clindamycin to control bacterial infections.

For severely ill patients who require hospitalization, broad-spectrum antibiotics, such as levofloxacin combined with gentamicin, can be given intravenously.

Surgical intervention:

If there is a pelvic abscess or a mass caused by a large area of ​​inflammation, ultrasound-guided puncture and drainage can be used to remove the pus.

In severe cases, surgery may be required to remove part of the damaged tissue or ovaries to prevent the spread of inflammation.

Supportive therapy: Stay in bed and rest, apply hot compresses to the lower abdomen to relieve pain symptoms, drink plenty of water and promote toxin excretion.

4Prevention and daily care

Pay attention to the cleanliness of private parts and try to avoid high-risk behaviors; when treating reproductive tract infections, be sure to complete the entire course of treatment.

Perform regular gynecological examinations to promptly detect and treat potential infections or urogenital system abnormalities.

Acute pelvic inflammatory disease with a mass is a disease that requires high attention. If you have similar symptoms, you should seek medical attention immediately, including ultrasound or CT to confirm the diagnosis and develop a treatment plan. Timely treatment and follow-up care can effectively reduce the recurrence of inflammation and the occurrence of complications.