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INFLAMMATION OF THE PELVIS |
Pelvic inflammation may have to do with inflammation of the ovaries, the fallopian tubes, which can be acute or chronic infections and may extend to adjacent organs. The anaerobic bacteria, gonococcal, chlamydia are the main causes of inflammation of the pelvis. The symptoms the patient experiences is nausea, malaise, fever and severe pain. In some cases there is vaginal hemorrhage (usually dripping).
During the pelvic exam there is intense pain, and uterus sensitivity, especially while trying to move them. In general a rise in blood leucocytes and fever can also be high.
They are usually treated by using triple antibiotic regimen for at least fifteen days such as metronidazole and vibramicin. In acute situations the use of antibiotics should be given intravenously. Anti-fever and anti-inflammatory substances are also used. Many times the treatment should not exceed fifteen days. The reason is that specific inflammation in the fallopian tubes may lead to infertility and tubal obstruction in the future. Furthermore, douglasiou abscess, thrombophlebitis, ileus and older or younger pelvic acquisitions can be formed.
Adhesions are also a complication that we can experience after multiple pelvic inflammations. The problem is that some pelvic inflammations may go unnoticed due to lack of symptoms and the patient not to realise it. In these cases, unfortunately, with the number of episodes of pelvic inflammations may increase the likelihood the patient having fertility problems in the future.
When the symptoms end, anti-inflammatory treatment should be continued for at least twenty days. If there is an abscess laparotomy for drainage of abscess should be made, especially in cases of douglasiou. Surgery, however, should always be done after the acute phase of disease to restore the anatomy of the pelvis.
Unfortunately one of the main causes of pelvic inflammation nowadays is CHLAMYDIA TRACHOMATIS, the bacterium responsible for most cases of tubal stenosis anatomy today.
Proper treatment and management is about reducing complications and direct and indirect. It is very important for the patient with early symptoms of pelvic pain should be addressed to the gynecologist for further examination and history taking and vaginal ultrasound.
The tubes are usually not visible at the vaginal or abdominal ultrasound, but in cases of fluid or purulent fluid in the tubes, the tubes are visible in ultrasound.
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