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Adhesion

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Contents of this page:

Illustrations

Pelvic adhesions
Pelvic adhesions
Ovarian cyst
Ovarian cyst

Alternative names    Return to top

Pelvic adhesion; Intraperitoneal adhesion; Intrauterine adhesion

Definition    Return to top

Adhesions are fibrous bands of scarlike tissue that form between two surfaces inside the body.

Causes, incidence, and risk factors    Return to top

Inflammation, surgery, or injury can cause tissues to bond to other tissue or organs, much like the process of forming scar tissue. Sometimes, fibrous bands (adhesions) can form between the two surfaces. Abdominal surgery, endometriosis, attacks of appendicitis, or pelvic inflammatory disease (PID) can also cause intraperitoneal adhesions.

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.

Intrauterine adhesions occur often enough that they have a name of their own -- Asherman syndrome. Pelvic adhesions can lead to infertility and reproductive problems.

Symptoms    Return to top

See the associated disorders.

Signs and tests    Return to top

Physical examination varies depending on the location of the adhesion. Various procedures, such as a laparoscopy for suspected pelvic adhesions, hysteroscopy, or hysterosalpingography, may be recommended.

Treatment    Return to top

Surgery may be performed to separate the adhesions. This is often sufficient to allow normal movement of the organ and to reduce the symptoms caused by the adhesion. However, the risk for more adhesion increases as the number of surgeries increases.

Expectations (prognosis)    Return to top

The outcome is usually favorable.

Complications    Return to top

Glaucoma, infertility, and bowel obstruction are possible complications of adhesions.

Calling your health care provider    Return to top

Call your health care provider if you are experiencing abdominal pain or unexplained fever.

Update Date: 4/30/2004

Updated by: Robert L. Debernardo, M.D., Department of Obstetrics & Gynecology, Massachusetts General Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.

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