Chronic pelvic inflammatory disease is mainly present in

Chronic pelvic inflammatory disease is a symptomatic disease that occurs in many patients who have not been completely cured in the acute period. You must pay special attention to it after it occurs. This means that a very serious infection has occurred in your body. If you are not careful, it will endanger the health of your other organs and tissues, and eventually lead to pelvic abscess disease, which is not easy to cure.

The ovaries rarely become inflamed alone. The tunica albuginea is a good defensive barrier. The ovaries often adhere to the inflamed fimbria of the fallopian tubes and develop periovarial inflammation, called salpingo-oophoritis, commonly known as adnexitis. Inflammation can invade the ovarian parenchyma through the hole where ovarian ovulation occurs to form ovarian abscess. The abscess wall adheres to and penetrates the fallopian tube pus, forming a fallopian tube-ovarian abscess.

Tubo-ovarian abscesses can be unilateral or bilateral. About half of them are formed after the first onset of identifiable acute pelvic inflammatory disease, and the other part is formed after repeated acute attacks or repeated infections. Tubo-ovarian abscesses are mostly located behind the uterus or at the adhesions between the uterus, the posterior lobe of the broad ligament and the intestine. They can break into the rectum or vagina. If they break into the abdominal cavity, they will cause diffuse peritonitis.

3. Acute pelvic peritonitis When the pelvic organs are seriously infected, it often spreads to the pelvic peritoneum. The inflamed peritoneum is congested and edematous, and has a small amount of cellulose-containing exudate, forming adhesions of the pelvic organs. When a large amount of purulent exudate accumulates in the gaps between adhesions, scattered small abscesses may form; accumulation in the rectouterine pouch may form pelvic abscesses, which are more common. The abscess is surrounded by the uterus in front, the rectum in the back, and the adhesions of the intestine and greater omentum on the top. The abscess can break into the rectum, causing sudden relief of symptoms, or it can break into the abdominal cavity, causing diffuse peritonitis.

4. Acute pelvic connective tissue inflammation pathogens enter the pelvic connective tissue through the lymphatic vessels and cause connective tissue congestion, edema and neutrophil infiltration. The most common type is parametrial connective tissue inflammation, which begins with local thickening, a soft texture, and unclear boundaries. It then infiltrates in a fan-shaped manner toward the pelvic walls on both sides. If the tissue becomes purulent, a pelvic extraperitoneal abscess will be formed, which may spontaneously rupture into the rectum or vagina.

6. Sepsis and sepsis Sepsis often occurs when pathogens are highly toxic, numerous, and the patient's resistance is reduced. If multiple inflammatory lesions or abscesses are found in other parts of the body after pelvic inflammatory disease, sepsis should be considered, but it needs to be confirmed by blood culture.

31 Will pelvic inflammatory disease cause fever?