Pay attention to the five major characteristics of hemorrhagic salpingitis due to abdominal pain

Salpingitis is a common gynecological inflammation and a disease that we should pay more attention to, especially hemorrhagic salpingitis. After abnormalities occur, immediate examination and diagnosis should be carried out.

Symptoms of hemorrhagic salpingitis

1. Acute abdominal pain is the main characteristic of this disease, caused by inflammatory exudation from the fallopian tubes, which stimulates the peritoneum. The lesion can involve one or both fallopian tubes.

2. Blood abdominal syndrome, generally with minimal bleeding, approximately 100-200 milliliters.

3. Vaginal bleeding, retrograde outflow of fallopian tube blood through the uterus.

4. Elevated body temperature, elevated blood cells and neutrophils, and decreased hemoglobin are collected and organized by the Medical Education Network.

5. There is obvious tenderness, rebound pain, and abdominal muscle tension in the lower abdomen, with frequent internal bleeding and shifting dullness. There is lifting pain in the cervix, plump posterior fornix, thickening or lumping of the adnexal area, and obvious tenderness.

Examination for hemorrhagic salpingitis

1. Blood routine examination: Patients with negative urinary pregnancy test negative for hemoglobin values within the normal range, white blood cell count, and neutrophil count, and hemorrhagic salpingitis, should also undergo gynecological examination. It is best to send uterine discharge into bacterial culture and drug sensitivity as a reference for antibiotics.

2. Ultrasound examination: Hydrosalpinx can be manifested by ultrasound, mainly during the acute period of tubal inflammation. Tubal inflammation blocks the umbrella end, and inflammatory exudate accumulates in the lumen of the fallopian tube. Ultrasound shows abnormal echogenicity on one or both sides of the uterus. The fallopian tubes become thicker, some appear in the shape of sausages, and there are low echoes or punctate echoes in the lumen.

3. Posterior fornix puncture examination: Posterior fornix puncture can extract non clotting blood liquid, with less than 1ml and more than 5ml, showing a light red or blood sample, and less dark red or old blood.

4. Hysteroscopy laparoscopy combined examination: mainly used for injection dye examination and selective intubation examination. Under laparoscopy, acute salpingitis and pyosalpingosis can be seen in the stage of tubal thickening and swelling, and in the later stage, laparoscopic examination of fimbriae of uterine tube end atresia can be seen in the abdominal cavity with blood accumulation, one or both sides of the fallopian tube thickening, congestion and edema, and adhesion with the surrounding. There may be active bleeding at the end of the fimbriae of uterine tube.

Identification and diagnosis of hemorrhagic salpingitis

1. Identification of tubal pregnancy rupture, corpus luteum hematoma rupture, retrograde flow of blood into the abdominal cavity through the fallopian tube, rupture of ovarian chocolate cyst, pelvic abscess, appendicitis, etc.

2. The symptoms of hemorrhagic salpingitis and tubal pregnancy are very similar and need to be distinguished.