pelvic mass
Introduction
Introduction The pelvic mass is often one of the main complaints for gynecological patients, and it is also a common sign of gynecological pelvic examination. Most of the pelvic masses come from the female genitalia, and the mass can be found by the patient or his family inadvertently. It can also be found when the pelvic examination is performed because of other symptoms such as pain and dysuria. Patients often have clinical manifestations of acute salpingitis, and anti-inflammatory drugs can alleviate the symptoms. Symptoms include lower abdominal pain, fever, and vaginal bleeding. Usually, the patient may have increased vaginal discharge and relieve pain in the lower abdomen.
Cause
Cause
The pelvic mass can be divided into the following according to its etiology:
1. Functional mass: for physiological or temporary mass, found in pregnant uterus, ovarian corpus luteum cysts, etc.
2. Inflammatory mass: found in hydrosalpinx, fallopian tube ovarian cysts.
3. Obstructive mass: due to genital atresia or poor intestinal bowel movement, seen in the uterine hemorrhage, incarcerated feces and so on.
4. Tumorous mass: found in uterine fibroids, ovarian tumors, etc.
5. Other masses: including the cause of the disease is unknown, and the mass formed by iatrogenic, the endometriotic cyst found in the ovary, and the residual foreign body in the pelvis.
Examine
an examination
Related inspection
Pelvic inflation contrast X-ray lipiodol imaging cervical secretion culture
1. Carefully ask the relevant medical history and collect relevant clinical data.
2. Closely check the patient to clearly understand the clinical symptoms of the patient.
3, appropriate physical examination of the patient, a preliminary understanding of the morphological changes of the various organs of the patient.
4. Perform relevant equipment examinations on patients and conduct laboratory tests as appropriate.
5, comprehensive consideration of various inspection results, combined with the clinical symptoms of various organ damage, and finally draw a corresponding diagnosis.
Diagnosis
Differential diagnosis
Pelvic effusion is an inflammatory exudate in the pelvic cavity. It can occur in the endometrial inflammation, a slightly viscous liquid oozing out of the swollen cells of the endometrial tissue, and a cystic mass gradually formed by the surrounding tissue. The location of pelvic effusion occurs in the lower part of the pelvic cavity such as the uterus rectal sag. The effective examination method commonly used in gynecology is B-ultrasound, which can accurately judge the amount of effusion.
Pelvic septicemia: The clinical feature is "three pains, two more and one less". That is, pelvic pain, low back pain, sexual pain, menstruation, vaginal discharge, gynecological examination with fewer positive signs. Pelvic venography is often required. Laparoscopic or surgical confirmation of pelvic vein thickening, detour, varicose veins, and other organic diseases of the reproductive organs are excluded. This disease is more common in early marriage, early childbirth, prolific, post-uterine, habitual constipation and long-term standing women, especially in patients with chronic abdominal pain after female sterilization, laparoscopic examination, the intrinsic detection rate is 29.76% .
Pelvic abscess: Most of the acute pelvic connective tissue inflammation has not been treated in time, and the suppuration forms a pelvic abscess. This abscess can be confined to one or both sides of the uterus, and the pus flows into the deep pelvic cavity. The symptoms continued to deteriorate, and there was a relaxation-type hyperthermia. The peritoneal irritation was more pronounced. There were rectal and bladder irritation such as rectal pressure, defecation and dysuria, and symptoms of systemic poisoning. Double diagnosis and anal examination showed that the pelvic cavity was full, and the rectal uterus was thickened, hard or undulating, accompanied by obvious tenderness.
