Salpingo-Oophoritis


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salpingo-oophoritis

[sal¦piŋ·gō‚ō·ə·fə′rīd·əs]
(medicine)
Inflammation of the fallopian tubes and ovaries.

Salpingo-Oophoritis

 

in animals and humans, an inflammation of the uterine appendages—the fallopian tubes and ovaries. In humans the disease develops when staphylococci, streptococci, colon bacilli, gonococci, tubercle bacilli, and other pathogenic microorganisms penetrate the fallopian tubes and then the ovaries. Cocci and colon bacilli pass upward into the body from the uterus, and tubercle bacilli pass from the lungs and other organs with the blood.

Salpingo-oophoritis disturbs the continuity of the epithelium of fallopian tubes, and the tubular walls become infiltrated. The fallopian tubes and ovaries coalesce into a single inflammatory formation. The inflammation may be acute, subacute, or chronic; when it is chronic, relapses often occur. In acute cases there is pain in the lower abdomen, general malaise, and a rise in temperature to 38°-38.5°C. The lower portion of the abdomen becomes strained, and palpation produces pain. These symptoms subside when the disease enters the subacute stage. Chronic salpingo-oophoritis causes intermittent or persistent pain in the lower part of the abdomen and in the lumbus, infertility, and disruption of the menstrual cycle. Vaginal examination reveals the enlargement of uterine appendages.

Diagnosis is based on an individual’s medical history, for example, prior complications during abortions or childbirth, an irregular sex life, or incidence of pulmonary tuberculosis. A diagnosis is also based on the symptoms present and the results of instrumental and laboratory examinations. A special examination is given if gonorrhea is suspected. Hysterosalpingography, cultures of menstrual blood, and tuberculin injections are utilized to detect tubercular salpingo-oophoritis.

Treatment in the acute stage is administered in a hospital and includes rest, the application of ice to the abdomen, and the use of antibiotics, sulfanilamides, calcium-chloride preparations, and antihistaminics. Treatment is replaced by physical therapy in the subacute stage. Physical therapy is also prescribed in cases of chronic salpingo-oophoritis and includes the application of mud and the use of ultrasound and diathermy. Early treatment prevents cicatricial changes in uterine appendages and permanent infertility. Purulent salpingo-oophoritis requires surgery, and tubercular salpingo-oophoritis requires the administration of antituberculotics.

Prophylaxis is aimed at preventing the causative agents from penetrating the body during childbirth or abortion. Gonorrheal and tubercular salpingo-oophoritis are prevented by following the general rules for controlling gonorrhea and tuberculosis.

REFERENCE

Mnogotomnoe rukovodstvo po akusherstvu i ginekologii, vol. 4. Moscow, 1963.

A. P. KIRIUSHCHENKOV

References in periodicals archive ?
Significant alterations in arterial and venous circulation, primarily in the vascular bed of the small pelvis, were detected in patients with chronic salpingo-oophoritis. (14) The application of SWD is associated with the dilation of arterioles and capillaries which result in an increased flow of blood to the pelvic area, making available an increased supply of oxygen and nutritive materials and also bringing in more white blood cells.
These findings were diagnostic of xanthogranulomatous salpingo-oophoritis with left ovarian abscess.
In the most cases, TPI develops against the background of various inflammatory gynecological diseases, which often follow each other (salpingo-oophoritis, ovarian cysts, metroendometrites, hydro- and salto-salpinx, etc.) In total, among the examined women, 77.3% (80 women) had some or other diseases of the uterus and appendages, which makes these diseases important in infertility development.