POSTPARTUM (POST-ABORTION) INFECTIOUS DISEASES : PARVICELLULAR (PELVIOOCELLULITIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Parvicellular - inflammation of the entire pelvic tissue.
The etiology of infection, most often streptococcal.
Pathogenesis - see Parameters. The inflammatory process involves the entire pelvic tissue. In some cases, is an inflammatory reaction to the defeat of adjacent organs (epididymis).
The symptoms are identical to the symptoms in the setting (see) and pelvioperitonite (see), but more pronounced. The General condition of severely disrupted. Vaginal examination the uterus is in a state of slow-return development, as if soldered in pasty, sharply painful infiltration, occupying the entire pelvis.
For. Begins, how heavy pelviureteric to sharp fluctuations in high temperature, increased heart rate; symptom Shchetkina (Blumberg). Swollen belly. General health disorders. The infiltrate in the pelvis (pelvic examination), first defined as a pronounced swelling of the entire pelvic tissue, after a few days becomes more dense; at the same time improving the overall condition. Later, as the acute symptoms subside within identical to parametritis. In some cases, the process involves m. ileopsoas. It is characteristic in this case, the position of the patient in the bed is shown with a slightly and bent at the hip and knee joint of the leg on the affected side.
Complications. Suppuration, breakthrough abscess in the free abdominal cavity (subsequent peritonitis) or into the bladder, the rectum. In more rare cases - pyosepticemia.
The prediction is good, in the presence of suppuration - careful.
Penicillin (injection and injection via the posterior fornix) while the appointment of sulfatiazola. The ice on the lower abdomen. Intramuscular injection of 5% glucose solution, the heart, is symptomatic. Transfusion of 75 to 100 ml of blood a few times. In the future, identical treatment of parametritis. In the presence of the abscess is surgical.