Distinction between ectopic pregnancy and acute Salpingitis

Must be ectopic pregnancy and acute salpingitis for differential diagnosis : acute Salpingitis : no history of amenorrhea and early pregnancy, and there was no shock levy. The temperature increase of digastric muscle tension, both sides have tenderness of the lower abdomen. After the vaginal fornix checks not satiated and normal uterus, and both are often thickened Department annex, mass and tenderness, and sometimes significant side. After the dome can sometimes puncture had puss coming out. Interleukin classification and neutral, negative pregnancy test. In particular, bleeding Salpingitis not only lower abdominal tenderness-throbbing, and sometimes there will be mobile Voiced. After the dome can puncture out fresh blood, preoperative identification difficult, often only after the birth of a clear diagnosis. But according to reports, the majority of patients with a recent history of abortion, hCG negative, such as internal bleeding and more (some reports, more to greater than 1200) laparotomy was necessary, we can see tubal thickened, edematous, see the blood outflow from the fimbria, pathology of acute inflammation, no villi.