Hemorrhagic salpingitis of 10 cases.docVIP

 PAGE \* MERGEFORMAT 6 Hemorrhagic salpingitis of 10 cases Hemorrhagic salpingitis is one of gynecologic acute abdomen, the incidence is low, a growing tendency come. Because of the lack of knowledge of the disease clinically misdiagnosed as ectopic pregnancy, ruptured corpus luteum. Our hospital between 2004 and 2008 were treated 10 cases of hemorrhagic salpingitis and 10 cases were misdiagnosed, to deepen the understanding of the disease, 10 patients on the above analysis, in order to improve the diagnosis rate of the disease, reduce misdiagnosis. 1 Clinical data 1.1 General information: 10 cases of misdiagnosed cases, aged 24-32 years old, are the maternal, history of cesarean section in 2 patients, 4 patients with recent operating history of uterine cavity (2 cases of induced abortion, 1 patient with ring, 1 to take rings, 2 patients had the history of menopause. 1.2 10 cases had clinical manifestations of sudden lower abdominal pain, abdominal pain, and more from one side, followed by a persistent pain in the lower abdomen into the whole. Accompanied by a sense of the anus falling sheets in 4 cases, 5 cases of irregular vaginal bleeding, 8 patients were admitted before have different degrees of heat ,37.7-38 .5. Abdominal examination have different levels of peritoneal irritation, the next part of the abdomen, left lower quadrant in 1 case was, but no muscle tension .10 2 cases positive shifting dullness. gynecologic Check: 6 cases of cervical pain, lifting, after the dome full of 6 cases, unilateral or bilateral tenderness in varying degrees the annex, annex area culdocentesis thickening .10 cases were not out of blood coagulation. 1.3 The auxiliary examination hemoglobin lt;100g / L in 3 cases, WBCgt; 10 109 in 7 cases, 1 case of urinary HCG positive, B-8 routine examinations showed the amount of fluid in the abdominal cavity in 2 cases, 8 cases of uterine rear effusion, tubal thickening in 3 patients. 1.4 the 10