Pelvic fluid
Introduction
Introduction 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. According to pathological factors, it can be divided into physiological pelvic effusion and pathological pelvic effusion. Physiological pelvic fluid is not a bad thing for women, and pathological pelvic fluid is a great hazard. Once a woman has such fluid, she should go to the hospital for symptomatic treatment.
Cause
Cause
Because the pelvic cavity is the lowest part of the abdominal cavity in the body, when there is exudate or leakage, it will drain to the pelvic cavity, thus forming pelvic fluid.
Some normal women will have a small amount of blood accumulating in the pelvic cavity during the menstrual period or ovulation period, forming pelvic fluid. Such pelvic fluid is sometimes a good thing. It proves that the woman's fallopian tube is unobstructed, and the fallopian tube has exudation. A small amount of exudate will pass to the pelvic cavity to form a pelvic fluid.
Clinically, most women's pelvic fluid is caused by inflammation, and there is inflammatory exudate in the pelvic cavity. If it is not treated, it can grow up slowly. Too big, the drug is not easy to eliminate and requires surgery.
1. Physiological pelvic effusion: Because the pelvic cavity is the lowest part of the abdominal cavity in the body, when there is exudate or leakage, it will drain to the pelvic cavity, thus forming pelvic fluid. Some normal women will have a small amount in the menstrual period or ovulation period. Blood accumulates in the pelvic cavity and forms pelvic fluid. Such pelvic fluid is sometimes a good thing. It proves that the woman's fallopian tube is unobstructed, and the fallopian tube is oozing. If the umbrella end is smooth, a small amount of exudate will go to the pelvic cavity, thus forming Pelvic fluid. If the fallopian tube is not smooth, the fluid of the pelvic effusion, such as the tubal effusion, is generally less absorbed, so you don't have to be afraid. Generally no treatment is needed.
2, pathological pelvic effusion: clinically, most women's pelvic fluid is caused by inflammation, there is inflammatory exudate in the pelvic cavity, if not treated, you can grow up slowly. Too big, the drug is not easy to eliminate and requires surgery. Pathological gynecological pelvic effusion is mostly caused by pelvic inflammatory disease or endometriosis. The causes of pelvic inflammatory disease are mostly related to the patient's poor health habits, such as menstruation, sexual life within one month after delivery, and bathing within one month after gynecological surgery. Abortion caused by artificial abortion, induced labor and disinfection can also cause pelvic fluid. If there is a chronic infection, it may be caused by inflammation in the gynecological system such as ovary and fallopian tube pelvic cavity, or may be caused by tuberculosis or tumor. There are also a few cases of rupture of ectopic pregnancy, corpus luteum rupture, pelvic abscess, chocolate cyst, ovarian cancer. . A very small number of pelvic fluids are caused by tuberculosis.
Examine
an examination
Related inspection
Genital tract secretion culture urine routine blood pelvic and vaginal B-laparoscopic laparoscopic
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.
It can be combined with medical history, symptoms and physical symptoms to determine whether it is normal effusion or abnormal effusion. If the diagnosis is abnormal, it is necessary to clarify the cause of effusion, and it is the key to remove the cause.
The effusion is a Western medicine examination or symptomatic treatment, and should not be done frequently. Because the simple effusion will not cure the pelvic fluid, it will also increase the effusion.
Diagnosis
Differential diagnosis
Pelvic blood stasis: pelvic blood stasis syndrome (also known as pelvic sputum) is a special disease caused by chronic pelvic venous stasis, and is also one of the main causes of chronic pelvic pain in gynecology, more common in 30-50 years old women . Chinese medicine does not have this name. According to its clinical manifestations, it can be classified into abdominal pain, dysmenorrhea, and lowering. The pathogenesis is mainly blood stasis and dysfunction.
Pelvic abscess: more pelvic abscess is not treated in time by acute pelvic connective tissue inflammation. Suppuration forms a pelvic abscess. This abscess can be confined to one or both sides of the uterus, and pus flows into the deep pelvic cavity.
Pelvic sensation: The main symptom of pelvic weight is increased vaginal discharge. The color and amount of leucorrhea vary depending on the pathogen. The vaginal discharge can be viscous or amine, sometimes with bloodshot or a small amount of blood, or with contact bleeding. It can also manifest as a sudden onset of severe pelvic pain, with a pelvic mass suggesting a severe, potentially pathological condition. An incarcerated uterus can cause acute pelvic pain in early pregnancy, often accompanied by uterine posterior tilt and pelvic adhesions. Acute growth or degeneration of uterine fibroids can also cause acute pain.
Pelvic effusion: caused by acute and chronic pelvic inflammatory disease, annex inflammation, accompanied by lower abdominal pain (bilateral or unilateral), lumbosacral pain, backache, lower abdomen pain, falling pain, backache and other symptoms.
