Patient's question:
Does prolonged sitting cause appendicitis in women?Does long sitting also cause appendicitis in women?
Doctor's answer:
Chronic tubo-ovarian inflammation is often accompanied by oophoritis, hence it is clinically referred to as adnexitis. There are several common types:1. Chronic interstitial tubitis: Due to long-term inflammation, the interstitial connective tissue of the fallopian tube wall proliferates and fibrotizes, causing the tube wall to thicken, harden, and become enlarged, leading to obstruction of the lumen. The fallopian tube may become tortuous and form inflammatory adhesions with surrounding tissues.
2. Nodular tubitis: Characterized by nodular thickening and hardening of the isthmus, it is a chronic inflammatory change. Some consider it to be a type of fallopian tube lesion. These lesions can cause isthmus obstruction and infertility.
3. Tubal abscess: This may result from purulent infection or fimbrial adhesion and obliteration. It manifests as thickened tube walls, significant tube enlargement, and a lumen filled with viscous pus, which can also cause adhesions between the ovary and uterus.
4. Hydrosalpinx: This may occur due to chronic infection leading to fimbrial obstruction, with the accumulation of tubal fluid and inflammatory exudate in the ampulla and isthmus. The tube wall becomes thick, and the lumen is narrow. If further adhesion and obstruction occur, fluid retention in the tube becomes difficult to drain and is not easily absorbed, forming a hydrosalpinx.
5. Tuberculous tubitis: This is tubitis caused by tuberculosis bacteria. It can be identified by the presence of Mycobacterium tuberculosis or characteristic tuberculous granulomas on pathological examination, along with systemic tuberculosis symptoms.
Untreated or inadequately treated acute tubo-ovarian inflammation can progress to chronic tubo-ovarian inflammation. During chronic tubo-ovarian inflammation, many patients may experience no obvious discomfort, most of whom seek medical attention due to primary or secondary infertility. Most patients do not have acute abdominal pain, but some may experience lower abdominal or lumbosacral fullness and aching, especially during menstruation, after intercourse, or after exertion.
In daily life, patients may have increased leukorrhea, heavier menstrual flow, prolonged periods, and dysmenorrhea. A history of pelvic inflammation or cervical inflammation may also be present.