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Pelvic adhesions
Pelvic adhesions


Ovarian cyst
Ovarian cyst


Definition:

Adhesions are bands of scar-like tissue that form between two surfaces inside the body.



Alternative Names:

Pelvic adhesion; Intraperitoneal adhesion; Intrauterine adhesion



Causes, incidence, and risk factors:

Inflammation, surgery, or injury can cause tissues to bond to other tissue or organs, much like the process of forming scar tissue. Sometimes, adhesions can form between the two surfaces. Other causes of adhesions include:



Symptoms:

Symptoms depend on the disorder or event that caused the adhesion.



Signs and tests:

Physical examination varies depending on where the adhesion is located. The health care provider may recommend procedures such as:



Treatment:

Surgery may be done to separate the adhesions. This often allows normal movement of the organ and reduces the symptoms caused by the adhesion. However, the risk for more adhesions increases as the number of surgeries increases.



Support Groups:



Expectations (prognosis):

The outcome is usually good.



Complications:

Depending on the tissues involved, adhesions can cause various disorders. In the eye, adhesion of the iris to the lens can lead to glaucoma . In the intestines, adhesions can cause partial or complete bowel obstruction .

Adhesions inside the uterine cavity, called Asherman syndrome , can cause a woman to have irregular menstrual cycles and be unable to get pregnant.

Pelvic adhesions that involve scarring of the fallopian tubes can lead to infertility and reproductive problems.



Calling your health care provider:

Call your health care provider if you have:

  • Abdominal pain
  • Persistent nausea and vomiting
  • Unexplained fever


Prevention:




Review Date: 2/5/2008
Reviewed By: Peter Chen, MD, Department of Obstetrics & Gynecology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100