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Pelvioperitonitis and parametritis
Pelvioperitonitis is an inflammation of the peritoneum, limited to the pelvic cavity. It develops as a result of the spread of the inflammatory process in the pelvic organs (salpingoophoritis, pyovar, torsion of the leg of the ovarian tumor, necrosis of the myomatous node, uterine perforation). Acute and chronic pelvioperitonitis are distinguished along the course. In acute pelvic peritonitis, the process is localized in the pelvis, however, the peritoneum of the upper abdominal cavity also responds to the inflammatory process. The patient notes sharp pains in the lower abdomen, body temperature rises, dyspeptic symptoms occur: nausea, vomiting, bloating, stool and gas retention, painful urination. Pronounced signs of intoxication appear. The blunting of percussion sound in flat areas of the lower abdomen associated with the presence of effusion in the abdominal cavity is determined. Intestinal peristalsis is sluggish, gases go off poorly. When a vaginal examination determines the overhang of the posterior fornix, pain on palpation and displacement of the cervix. The uterus with appendages is palpated with difficulty due to the sharp pain and tension of the anterior abdominal wall.
Neutrophilic leukocytosis with a shift to the left, toxic granularity of neutrophils, increased ESR are detected in the blood.
Treatment. Antibacterial, infusion, detoxification, desensitizing and restorative therapy are carried out. If the causes of pelvic peritonitis were rupture of pyosalpinx, perforation of the uterus, necrosis of a tumor of the uterus or ovary, then urgent surgery is indicated.
Parametritis is inflammation of the perinatal fiber.
The reason for the development of parametritis is most often the previous intrauterine interventions: childbirth, abortion, supravaginal amputation of the uterus, removal of the appendages, diathermocoagulation. Postpartum parametritis most often occurs with ruptures of the cervix and the upper third of the vagina. Infection with parametritis spreads lymphogenously. Diagnosis of parametritis is based on bimanual research. The vaginal mucosa during palpation and study of the arches is motionless due to infiltration. Due to the anatomical features of parametric fiber (it is bounded by the uterus on the one hand, the pelvic wall on the other, and the vaginal vault below), the cervix, the uterus itself and the vaginal vault are motionless during parametrization.
With unilateral parametritis, the cervix is rejected in the opposite direction from the pathological process. Infiltration has a dense, painful, motionless consistency, fan out from the side wall of the uterus to the walls of the pelvis along the front or back surface. In severe infections, inflammation can pass to neighboring sections of the pelvic tissue. Parametritis therapy is carried out according to the general rules for the treatment of inflammatory diseases, taking into account the specifics of the process. Includes antibacterial, desensitizing and restorative therapy. In case of suppuration of the infiltrate, drainage is performed.
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Pelvioperitonitis and parametritis
Inflammation of the peritoneum, limited to the pelvic cavity. It develops as a result of the spread of the inflammatory process in the pelvic organs (salpingoophoritis, pyovar, torsion of the leg of the ovarian tumor, necrosis of the myomatous node, perforation of the uterus). Pelvioperitonitis is most often a complication after abortion, childbirth, surgery on the uterus or its appendages. Acute and chronic are distinguished with the flow
Pelvioperitonitis is an inflammation of the peritoneum of the pelvis. The disease can be either partial (perisalpingitis, perioophoritis, perimetritis), or diffuse, affecting the parietal and visceral peritoneum of the pelvis. Pathogens (along with gonococci) include pathogenic and conditionally pathogenic microflora that cause non-specific inflammatory diseases of the pelvic organs. Pp how
The term “pelvioperitonitis” refers to inflammation of the entire pelvic peritoneum. The causative agents of the disease are usually pathogenic and conditionally pathogenic microflora, causing VZOT. Pelvioperitonitis (PP) can be partial (perisalpingitis, perioophoritis, perimetritis) or diffuse, extending to the parietal and visceral peritoneum of the pelvis. PP usually occurs a second time, due to
- Pelvioperitonitis (pelvic peritonitis)
A form of local peritonitis that occurs when the infection spreads from the uterus or appendages to the peritoneum. DIAGNOSTICS Chills, fever, tachycardia, intense pain in the lower abdomen radiating to the sacrum, rectum, thigh or womb. Nausea, vomiting is possible. Delayed stool and gas. Local muscle tension of the abdominal wall and local symptoms of peritoneal irritation. URGENT CARE ·
Inflammation of the perinatal fiber. The reason for the development of parametritis is most often the previous intrauterine interventions: childbirth, abortion, supravaginal amputation of the uterus, removal of the appendages, diathermocoagulation. Postpartum parametritis most often occurs with ruptures of the cervix and the upper third of the vagina. Infection with parametritis spreads lymphogenously. Diagnostics
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