Gonorrheal inflammation of the uterine appendages

Gonorrheal infection of the uterus usually spreads quickly on the mucous membrane of pipes through the fallopian their holes. Due to the swelling of the folds of mucous membrane tubes and peeling the cover of ciliated epithelium occurs bonding folds and obliteration of the lumen of the tube. This occurs most often in a more narrow section of pipe - in the fallopian her Department. Coming due gonorrheal infection, obstruction of pipes is one of the most frequent causes of infertility in women. In those cases, when the closure of the abdominal holes pipes, formed blind bag. If scoplamine in this sealed the pipe secret has severe character is formed saccular tumor pipes with watery contents - hydrosalpinx, if the pipe is accumulated purulent exudate, a purulent bag - of pyosalpinx.
Usually purulent tumor pipes with gonococcal infection rarely reach large sizes in contrast to pyosalpinx, developing in the soil strep or staph infection. Spreading the mucous lining of pipes, gonorrhea, together with its purulent content easily fall on the nearby tube stations of the pelvic peritoneum, which often leads to extensive growths between tubes, ovaries, uterus, adjacent loops guts and parietal peritoneum. Ovary involved in the inflammatory process, usually not infected directly by gonorrhea, and changes occurring in it are reduced to hyperemia with the development of connective tissue and the subsequent sclerosis his stroma. Because of this maturing follicles lose an opportunity "to reach the surface of the ovary and therefore are not opened; egg cell in it dies and produces small retention cyst. Over time, almost all of the ovary is permeated such cystic formations, which leads to the so-called small cystic change the ovary.
Much less gonorrhea apply to the ovary, penetrating from its surface in a follicle or svejesobranna yellow body. Both in that, and in other cases may be formed purulent abscesses, sometimes merged into a single cavity and leading to the formation of the ulcer is pivarium.
Abscess of the ovaries usually does not reach large sizes. Coming inflammation of the uterus is characterized by the presence of a sharp pain in lower abdomen, the phenomena of peritoneal irritation, such as the muscles of the abdominal wall, nausea, sometimes vomiting; as a rule, there is a positive symptom Shchetkina - Blomberg. These phenomena are accompanied by high temperature, increased heart rate, flatulence, stool retention;appetite in these patients is not present, the language dry, lined.
Since the beginning of the disease often coincides with the onset of menses, usually last longer, be more abundant and painful. When the vaginal bimanual examinations uterus and appendages clearly contribute fails due to the sharp pain and tension of the abdominal wall. As the remission of acute inflammation able to probe increased from one or both sides painful appendages.
Inflammation of the uterus is called salpingo-oophoritis or adnexitis.