Patient's question:
Last month, my menstrual cycle returned after a 7-day interval, and during that time, I had 5 days of bloody leukorrhea. I went to the hospital for a check-up, and the ultrasound report of the uterine adnexa stated: the uterus is retroverted, with normal shape and size, the transverse diameter of the uterine body is 4.03.73.3 cm, the muscular wall echoes are thickened and uneven, with dark bands inside, the largest diameter being about 0.3 cm, the endometrial line is clear and central, with a thickness of about 0.8 cm, and a dark band of 1.70.3 cm is observed in the cervical canal. The bilateral ovaries are of normal size, with no abnormal internal echoes. A deep echo-free area of about 1.3 cm was detected in the rectouterine pouch. The doctor said it was due to pelvic effusion and vaginitis. The leukorrhea routine test + BV + CT report showed white blood cells 0-5 HP, red blood cells 0-3 HP, a small amount of miscellaneous bacteria, and all other tests were negative.Doctor's answer:
Hello: Generally, pelvic effusion exceeding 1.0 cm is considered potentially pathological pelvic effusion, often caused by inflammation, specifically due to chronic pelvic inflammatory exudation. A few cases may be caused by ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst, or ovarian cancer. Those caused by acute or chronic pelvic inflammation are often accompanied by lower abdominal pain (unilateral or bilateral), lumbosacral pain, and a history of induced or medication-induced abortion. The specific cause of the effusion is: serous exudation caused by inflammation cannot be absorbed by the body and gradually accumulates within the body. If the pelvic effusion ranges from 2.1 cm to 1.1 cm, it is recommended to seek further examination in a regular hospital gynecology department promptly. After identifying the cause, symptomatic treatment should be administered.