Pelvic peritonitis infection route

Experts say that pelvic peritonitis is a type of gynecological inflammation in women, and the incidence rate in daily life is very high, so women should pay attention to it. So, what are the infection routes of pelvic peritonitis? The following gynecological experts will give you detailed answers.

Pelvic peritonitis infection route:

1) Primary infection: The possibility of direct infection of female reproductive organs with tuberculosis and the formation of primary lesions is still controversial. Although there have been reports in the literature that male patients with urogenital tuberculosis (such as epididymal tuberculosis) directly infect their sexual partners through sexual intercourse, forming primary vulvar or cervical tuberculosis, Mycobacterium tuberculosis is not often found in semen, and in these cases it is impossible to exclude the existence of early asymptomatic primary lesions in the lungs or other parts.

2) Direct spread in the abdominal cavity: When tuberculous peritonitis, caseous changes in mesenteric lymph nodes rupture, or intestinal and bladder tuberculosis are extensively adhered to the internal reproductive organs, the tuberculosis bacillus can spread directly to the surface of the reproductive organs. Tuberculosis of the fallopian tubes often coexists with peritoneal tuberculosis. It is possible that the tubes first spread to the peritoneum, or vice versa. It is also possible that both are the result of hematogenous spread.

3) Lymphatic transmission: The bacteria spread from tuberculosis lesions in abdominal organs, such as intestinal tuberculosis, to the internal reproductive organs through the lymphatic vessels in a retrograde manner. Since retrograde spread is required, it is rare.

4) Hematogenous transmission: This is the main route of transmission. Tuberculosis bacteria first invade the respiratory tract. Animal experiments have shown that the injection of 2 to 6 tuberculosis bacteria can cause lesions and spread rapidly, forming lesions in the lungs, pleura or nearby lymph nodes, and then spread through the blood circulation to the internal reproductive organs, first the fallopian tubes, and gradually spread to the endometrium and ovaries. Infections of the cervix, vagina, and vulva are rare.

Gynecologists point out that if you find symptoms occurring, you must go to a regular hospital for examination and treatment in time to avoid adverse consequences.