Swollen fallopian tubes

Introduction Tubal enlargement is generally caused by inflammation of the fallopian tube, which is an important factor in female infertility. Salpingitis is more common in infertile women. The cause is caused by pathogen infection. The pathogens mainly include staphylococcus, streptococcus, and large intestine. Caused by Bacillus, Neisseria gonorrhoeae, Proteus, Pneumococcal, Chlamydia, etc. The most common time for infection is postpartum, post-abortion or post-menstrual. Injury of the birth canal and placental stripping surface during labor or abortion or wounds of the endometrial exfoliation during menstruation are all ways in which the pathogen infects the internal genitalia. Sometimes infections are associated with less stringent aseptic surgical procedures, such as the placement of intrauterine devices, curettage, tubal fluid, and lipiodol. Sexual life is too frequent, sexual intercourse during menstruation, can also cause infection and fallopian tube inflammation. A small number of patients are caused by the direct spread of inflammation of adjacent organs. For example, appendicitis or other parts of the body are transmitted through the bloodstream to the fallopian tubes to cause infection.

Cause

The cause is caused by pathogen infection, and the pathogens are mainly caused by Staphylococcus, Streptococcus, Escherichia coli, Neisseria gonorrhoeae, Proteus, Pneumococcal, Chlamydia. The most common time for infection is postpartum, post-abortion or post-menstrual. Injury of the birth canal and placental stripping surface during labor or abortion or wounds of the endometrial exfoliation during menstruation are all ways in which the pathogen infects the internal genitalia. Sometimes infections are associated with less stringent aseptic surgical procedures, such as the placement of intrauterine devices, curettage, tubal fluid, and lipiodol. Sexual life is too frequent, sexual intercourse during menstruation, can also cause infection and fallopian tube inflammation. A small number of patients are caused by the direct spread of inflammation of adjacent organs. For example, appendicitis or other parts of the body are transmitted through the bloodstream to the fallopian tubes to cause infection.

an examination

Related inspection

Uterine fallopian tube angiography, fallopian tube patency, fallopian tube ventilation test, fallopian tube fluid examination, X-ray iodine angiography

Symptoms: Mainly manifested as: lower abdominal pain, mostly pain, lumbosacral pain, falling sensation; abnormal menstruation, such as increased menstrual flow, irregular cycle; dysmenorrhea, due to pelvic congestion, mostly appeared in the week before menstruation Abdominal pain, the closer to the menstrual period, the heavier, until the menstrual cramps; vaginal discharge increased. Some patients may have no symptoms other than infertility.

Signs: The uterus often shows a backward or backward flexion, and the activity is restricted or fixed. If it is salpingitis, the thickened fallopian tube can be touched on one side or both sides of the uterus, which is cord-like and has tender tenderness; If the tubal is hydronephrosis or the fallopian tube ovarian cyst, a cystic mass can be felt on one or both sides of the pelvis.

Differential diagnosis

Need to be identified with the following symptoms:

Tubal lumps: In the lower abdomen, gynecological examinations often touch one or both sides of the fallopian tube to thicken or lumps. The quality is both sexy and has a sausage-like shape or irregular shape, with light tenderness and limited activity. The mass is reduced after drainage. After the liquid is accumulated, it increases again.

Tubal adhesions: tubal adhesions were light and heavy, adhesions were divided into three degrees, and the adhesion of the fallopian tube was one degree: the adhesion between the fallopian tube and the uterine horn was two degrees; the tubal of the fallopian tube and the umbrella were three degrees.

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