What are the symptoms of gynecological adnexal inflammation?
Feb 02, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Adnexitis refers to inflammation of the fallopian tubes and ovaries. Clinically, adnexitis is classified into two forms: acute adnexitis and chronic adnexitis. Different forms of adnexitis present with varying clinical manifestations. Symptoms of acute adnexitis are mostly characterized by fever, localized lower abdominal pain, and dull, stabbing, distending, or dragging pain on one or both sides.
Adnexitis refers to inflammation of the fallopian tubes and ovaries. Clinically, adnexitis is classified into two types: acute adnexitis and chronic adnexitis. Different forms of adnexitis present with varying clinical manifestations. Generally, if acute adnexitis is not treated promptly or thoroughly, it may progress into chronic adnexitis.
1. Acute Adnexitis
The symptoms of acute adnexitis often include fever, localized lower abdominal pain—such as dull ache, stabbing pain, distension, or a sensation of heaviness—which may be persistent and progressively worsen. During gynecological examination, localized thickening and positive tenderness can be detected; in severe cases, peritoneal irritation signs may develop. Ultrasound may reveal thickening of one adnexal region and a significant amount of pelvic fluid accumulation.
2. Chronic Adnexitis
Chronic adnexitis results from inadequately treated or persistently unresolved acute adnexitis. Patients with chronic adnexitis typically do not experience fever, but may have pain in the lower abdomen, either on one side or bilaterally. Gynecological examination may detect thickening in one adnexal area or the presence of hydrosalpinx or ovarian hydrocele. On ultrasound, unilateral or bilateral adnexal thickening can be observed, along with cystic formations or fluid collections showing sausage-like appearances.
