Symptoms of acute salpingo-oophoritis

Acute salpingo-oophoritis is a gynecological inflammatory problem that affects women's reproductive health. Female friends should pay attention to understanding the symptoms of these diseases and scientific treatment methods. Patients often experience symptoms such as general fatigue and loss of appetite.

1. The disease usually occurs within two weeks after infection, with systemic symptoms such as general fatigue and loss of appetite first. High fever of 39-40℃ and pulse of 110-120 beats/minute will appear at the onset of the disease. There may be chills or chills, severe pain in the lower abdomen on both sides, which worsens during bowel movements. Sometimes there are also painful urination, abdominal distension, constipation, etc. Mucus in the stool is a sign of irritation caused by inflammatory infiltration of the colon wall. There are often menorrhagia, prolonged menstruation or menstrual disorders and purulent leucorrhea.

2. Gynecological examination: There is purulent or bloody discharge in the vagina, and the cervix is ​​often red and swollen to varying degrees. If it is a gonococcal infection, pus can be seen or squeezed out from the external opening of the Bartholin's gland duct, the urethral opening and the external opening of the cervix. There is severe pain when moving the cervix during bimanual examination. Because patients are afraid of pain and have a tense abdominal wall, it is often difficult to clearly identify the situation in the pelvic cavity. If the uterus can be palpated, it is generally fixed, normal size or slightly enlarged, and has severe tenderness. The adnexal areas on both sides are generally tender, and it is generally difficult to feel the adnexal masses.

3. Patients with acute salpingo-oophoritis may sometimes suffer from Fitz-Hugh-Curtis syndrome, which manifests as pain in the right upper abdomen or right lower chest, which is quite similar to the symptoms of cholecystitis or right-sided pleurisy. This condition can be caused by either gonorrhea or Chlamydia trachomatis infection, with the latter being more likely. This condition is often misdiagnosed as acute cholecystitis.

4. When a fallopian tube-ovarian abscess is formed, despite active treatment, the body temperature remains high, presenting as remittent fever or retained fever, the pulse is weak and rapid, the symptoms of peritoneal irritation are more obvious, and there is often a feeling of rectal compression and pain. Gynecological examination revealed obvious tenderness in the uterus and adnexa, and a painful mass with great tension and a slightly cystic feeling could be felt on one or both sides of the pelvic cavity. If the abscess is located in the rectouterine fossa, a full and protruding posterior fornix may be felt during vaginal examination, which is more obvious during rectal examination.

5. When the fallopian tube and ovarian abscess perforates and ruptures into the abdominal cavity, the patient suddenly feels severe pain, which continues to worsen, and may be accompanied by nausea, vomiting, chills, and the patient's face becomes pale. Clinical shock state including decreased blood pressure, slightly rapid pulse, cold sweat, etc. Abdominal examination revealed diffuse tenderness, obvious rebound tenderness, and abdominal muscle rigidity. Abdominal breathing disappears, and there are symptoms such as abdominal distension and intestinal paralysis, which require emergency treatment. If the abscess breaks through the rectum or posterior fornix of the vagina, a large amount of pus will be discharged from the anus or vagina, after which the condition will improve significantly.