Localized effusion in the pelvic rectal fossa

Localized fluid accumulation in the pelvic rectal fossa is actually a common gynecological disease that can only be discovered during an examination. The occurrence of this disease is mainly caused by inflammation. Localized pelvic rectal effusion is actually uterine rectal effusion. Generally, this disease is closely related to pelvic inflammatory disease. After the disease occurs, patients can treat localized fluid accumulation in the pelvic rectal pouch through medication or surgery.

Causes of uterine rectal effusion

1. Physiological uterine rectal effusion

Because the pelvic cavity is the lowest part of the abdominal cavity in the whole body, when there is exudate or leaked fluid, it will be drained into the pelvic cavity, thus forming a rectouterine fossa effusion. Some normal women will have a small amount of blood accumulated in the pelvic cavity during menstruation or ovulation, forming a rectouterine fossa effusion. Such rectouterine fossa effusion is sometimes a good thing, which proves that the woman's fallopian tube is unobstructed. If the fallopian tube has exudate, if the umbrella end is unobstructed, a small amount of exudate will flow into the pelvic cavity, thus forming a rectouterine fossa effusion. If the fallopian tube is not unobstructed, it will cause hydrosalpinx and fallopian tube thickening. The amount of fluid in this type of rectouterine fossa accumulation is usually small and will be gradually absorbed, so there is no need to be afraid. Generally, no treatment is required.

2. Pathological uterine rectal effusion

Clinically, most women's ureterorectal effusion is caused by inflammation, such as pelvic inflammatory disease or adnexitis or endometriosis.

The causes of pelvic inflammatory disease and adnexitis are often related to the patient's bad hygiene habits. For example, having sexual intercourse during menstruation or within one month after childbirth, taking a bath within one month after gynecological surgery, etc.; iatrogenic infection caused by improper disinfection during artificial abortion or induced labor can also cause uterine rectal effusion; there are chronic infection lesions, which may be inflammation in the gynecological system such as the ovaries and fallopian tubes and pelvic cavity, causing uterine rectal effusion; it may also be caused by tuberculosis or tumors; in a few cases, uterine rectal effusion can be caused by ruptured ectopic pregnancy, corpus luteum rupture, pelvic abscess, chocolate cyst, ovarian cancer, etc.

Clinical treatment of uterine rectal effusion

1. General treatment: 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. Treatment with Chinese medicine: Chronic pelvic inflammatory disease is mostly of damp-heat type, and the treatment principle is mainly to clear away heat and dampness and promote blood circulation and remove blood stasis.

3. Physical therapy: benign warm stimulation can promote local blood circulation in the pelvic cavity, improve the nutritional status of tissues, and enhance metabolism, so as to facilitate the absorption and disappearance of inflammation. Commonly used methods include short wave, ultrashort wave, ion penetration, etc.

4. Other drug treatments: When using anti-inflammatory drugs, you can also use 5 mg of α-chymotrypsin or 1500 U of hyaluronidase at the same time, intramuscular injection once every other day, 5 to 10 times as a course of treatment, to facilitate the absorption of adhesion and inflammation. In some patients, if local or systemic allergic reactions occur, the drug should be discontinued. In some cases, antibiotics are used at the same time as dexamethasone, oral dexamethasone 0.75 mg, 3 times a day, pay attention to gradually reduce the dosage when stopping the drug.

5. Surgical treatment: Surgical treatment is available for lumps such as hydrosalpinx or fallopian tube-ovarian cysts. Patients with small foci of infection and recurrent inflammation are also suitable for surgical treatment. The principle of surgery is to completely cure the disease and avoid the chance of recurrence of residual lesions. Unilateral oophorectomy or radical hysterectomy plus bilateral oophorectomy is performed. For young women, ovarian function should be preserved as much as possible. Single therapy for chronic pelvic inflammatory disease is less effective, so comprehensive treatment is appropriate.