What does uterine rectal effusion mean?

Gynecological diseases are very common in life, and women suffering from gynecological diseases will have a great impact on their health and life. Some women are diagnosed with rectouterine effusion during a physical examination. As an ordinary patient, I don’t understand this situation very well and don’t know the condition. So, what does rectouterine effusion mean? Let’s take a look below.

The female pelvis consists of the uterus and rectum, with the rectum behind the uterus. The depression they form is called the rectouterine pouch. The depression is the lowest in the pelvic cavity, so when there is fluid accumulation in a woman's pelvic cavity, it will show up inside. Under normal circumstances, after a woman ovulates, a small amount of follicular fluid will be discharged, and a small amount of fluid accumulation will be seen in the rectouterine pouch. If the effusion increases and exceeds 20mm, pelvic inflammation should be considered, which is mostly caused by inflammatory exudate. In addition to the presence of fluid accumulation under B-ultrasound, the patient may also experience lower abdominal pain and back pain, which require medication.

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 fluid accumulation. Some normal women will have a small amount of blood accumulate in the pelvic cavity during menstruation or ovulation, forming a rectouterine fossa fluid accumulation. Such rectouterine fossa fluid accumulation 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 fluid accumulation. If the fallopian tube is blocked, it will cause hydrosalpinx and fallopian tube thickening. The amount of fluid in this type of rectouterine fossa accumulation is generally 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 main cause of female pelvic inflammatory disease and adnexitis is the patient's bad living habits, but it may also be caused by the patient's sexual life and some surgeries.

Medical-induced infection caused by improper disinfection during artificial abortion or induced labor can also cause rectouterine effusion. If there are chronic infection lesions, it may be inflammation in the gynecological system such as the ovaries and fallopian tubes and pelvic cavity, which can cause rectouterine effusion. It may also be caused by tuberculosis or tumors. In a few cases, ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst, ovarian cancer, etc. can all cause rectouterine effusion.

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. Traditional Chinese medicine treatment

Chronic pelvic inflammatory disease is mostly of damp-heat type, and the treatment principle is to clear away heat and dampness. Mainly focus on promoting blood circulation and removing blood stasis.

3. Physical therapy

Warming can provide benign stimulation to the patient, promote local blood circulation in the pelvis, and improve the nutritional status of the patient's tissues.

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, injected intramuscularly once every other day, 5 to 10 times as a course of treatment, to facilitate the absorption of adhesion and inflammation. The medication should be discontinued if local or systemic allergic reactions occur in individual patients. In some cases, antibiotics are used simultaneously with dexamethasone, with 0.75 g of dexamethasone taken orally 3 times a day, and the dose should be gradually reduced when the drug is discontinued.

5. Surgical treatment

Masses such as hydrosalpinx or tubo-ovarian cysts can be treated surgically. Patients with small foci of infection and recurrent inflammation are also suitable for surgical treatment. The principle of surgery is complete cure to avoid 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. The effect of single therapy for chronic pelvic inflammatory disease is poor, and comprehensive treatment is appropriate.