Acute salpingo - oophoritis is an inflammation of the uterine appendages. It can be one- or two-sided, affect the ovary (acute adnexitis), the fallopian tube (acute salpingitis), or all the appendages of the uterus (salpingo-oophoritis).
Acute salpingo-oophoritis - causes
The causes of inflammation can be staphylococci, streptococci, chlamydia, enterococci, anaerobic infection, mycoplasmas. The causative agent falls into the appendages:
- endogenously from other genital organs;
- exogenously, for example, during skidding during medical manipulations;
- It is also possible a secondary inflammatory process after the introduction of infection from other inflamed organs.
Acute salpingo-oophoritis - symptoms
The main symptoms of inflammation of the uterine appendages are pains of varying intensity in the lower abdomen, an increase in body temperature, general weakness, impaired urination, nausea, or swelling of the intestine. When purulent inflammation will be determined by the symptoms of muscle protection due to irritation of the peritoneum.
Subacute salpingo-oophoritis or exacerbation of chronic salpingo-oophoritis will clinically look like an acute process, but the symptoms are most often less pronounced. Right-sided acute adnexitis in its symptoms may resemble acute appendicitis.
Acute salpingo-oophoritis - treatment
Treatment of the inflammatory process, first of all, includes antibiotic therapy with wide-spectrum preparations of cephalosporins, fluoroquinolones, macrolides, imidazole group preparations. The complex is prescribed detoxification therapy, physiotherapeutic methods of treatment are used. With the development of acute purulent inflammation, treatment can be prompt.
Acute salpingo-oophoritis - consequences
Complications of acute salpingo-oophoritis is a transition to a chronic form with the development of a violation of patency of the fallopian tubes and the onset of infertility. With purulent inflammation, possible complications are tubal ovarian abscesses, development of peritonitis and sepsis.