Is “pelvic effusion” “pelvic inflammatory disease”?

  First of all, the answer is clear: “pelvic fluid” in the ultrasound report is not necessarily “pelvic inflammatory disease”, which means that the “pelvic fluid” referred to by doctors in irregular hospitals is pelvic inflammatory disease. This means that the “pelvic fluid” referred to by doctors in irregular hospitals is pelvic inflammatory disease, and that you should be given fluids and physical therapy, which do not meet the diagnostic criteria for pelvic inflammatory disease. Without a clear diagnosis, where is the infusion and other treatment? And none of the criteria for diagnosing pelvic inflammatory disease include “pelvic effusion”.  What is the “pelvic fluid” in the ultrasound report?  It is clearly stated that pelvic fluid is not a disease per se, it is only a manifestation of ultrasound imaging. The context is as follows: 1. Physiological effusion can be seen in follicular fluid during ovulation: menstrual blood can flow backwards into the abdominal cavity during menstruation, and the effusion can be seen in the rectal fossa when the ultrasound is done just after menstruation. These effusions peritoneum can be absorbed.  2, pathological effusion is seen in inflammation: such as inflammatory exudate caused by appendicitis, pelvic infection, etc. Tuberculous peritonitis can cause a large amount of ascites.  3.Pathological effusion is seen in intra-abdominal hemorrhage: such as ectopic pregnancy, rupture of corpus luteum, hemorrhagic tubal inflammation, etc.  4. Pathological effusion is seen in tumors: such as ovarian cancer, uterine, fallopian tube, gastrointestinal tumors, etc.  The doctor will help you determine whether it is a physiological or pathological condition. If there are no clinical symptoms, it is a physiological phenomenon and does not need to be dealt with. So, don’t just jump to conclusions without any basis when you see “pelvic effusion”!  The diagnosis of pelvic inflammatory disease is based on the following criteria: 1. minimum criteria: painful cervical lifting or uterine pressure or painful pressure in the adnexal area.  2. Additional criteria: temperature over 38.3°C; abnormal purulent cervical or vaginal discharge; elevated blood sedimentation; elevated blood C-reactive protein; positive cervical gonococcus or chlamydia confirmed by laboratory tests; large number of white blood cells seen in wet film of vaginal discharge.  3. Specific criteria: endometrial biopsy to confirm endometrium to inflammation; laparoscopy to confirm pelvic inflammatory changes; nuclear magnetic or vaginal ultrasound to confirm tubal effusion and pus accumulation or tubo-ovarian masses, or with and without pelvic effusion.  Only when the above diagnostic criteria are met can pelvic inflammatory disease be diagnosed, not simply pelvic effusion can be casually diagnosed. In other words, the presence of “pelvic fluid” on ultrasound cannot be a simple diagnosis of pelvic inflammatory disease, but a comprehensive analysis must be made.