Dark area with fluid can be seen in the uterine rectal fossa

If a dark area of ​​fluid appears in the rectouterine pouch, it is very likely pelvic effusion. In this case, the patient needs to undergo a follow-up examination and treatment as soon as possible. The presence of dark areas indicates that there is obvious fluid accumulation in the body, and it is necessary to further identify the specific cause and then carry out targeted treatment.

The uterine rectal fossa has a liquid dark area, which is pelvic effusion.

examine

1. Ultrasound examination is the primary method for examining pelvic effusion. When the amount of fluid accumulation is small, only a small anechoic area can be seen in the rectouterine pouch; when the amount of fluid accumulation is large, a wider anechoic area can be seen around the uterus and/or intestinal space. While discovering fluid accumulation, it can also identify masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines with 85% accuracy.

2. Direct smear of secretions is a common method for diagnosing acute pelvic inflammatory disease. Samples can be taken from vaginal, cervical, or urethral secretions for direct thin-layer smears. After drying, gonococci are detected using methylene blue or Gram staining. However, the detection rate of gonococci in the cervical canal is only 67%.

3. Laparoscopic examination is used for the definitive diagnosis and differential diagnosis of pelvic effusion, and can also make a preliminary judgment on the extent of the lesion. Laparoscopic examination can be used to treat patients with pelvic inflammatory disease or suspected pelvic inflammatory disease and other acute abdominal diseases.

4. Pathogen culture: The secretions obtained by cervical os, posterior fornix puncture or laparoscopy are cultured for bacteria, and drug sensitivity tests are performed at the same time to identify the pathogens and guide medication. The average sensitivity is 89.5%, with a specificity of 98.4%, and it is widely used in clinical practice.

5. Routine blood tests, routine urine tests, and erythrocyte sedimentation rate provide the basis for targeted treatment of acute pelvic inflammatory disease. Through these examinations, the misdiagnosis rate of acute pelvic inflammatory disease can basically be reduced to a minimum.

treat

Physiological pelvic effusion does not require special treatment, and a small amount of pelvic effusion can be absorbed on its own. If it is pelvic inflammatory disease or tumor effusion, the amount of fluid will be more than 100 ml, and targeted treatment is required according to the cause.

1. General treatment can relieve patients' mental concerns, enhance their confidence in treatment, increase nutrition, exercise, pay attention to the combination of work and rest, and improve the body's resistance.

2. If the disease is caused by inflammation, anti-infection treatment should be actively carried out; if it is caused by a tumor, chemotherapy drugs should be used in combination with surgical treatment.

3. Surgical treatment is suitable for patients with lumps, hydrosalpinx or tubo-ovarian cysts; laparoscopic exploration is also recommended for patients with small foci of infection and recurrent inflammation. The principle of surgery is to completely cure the disease and avoid leaving any residual lesions. For young women, ovarian function should be preserved as much as possible. The effect of single therapy on chronic pelvic inflammatory disease is poor, so comprehensive treatment is appropriate.