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Re: GYNECOLOGIC: Adhesions without prior surg. ?GYN related?

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Fri, 1 Aug 2008 20:11:59 -0500 (CDT)

MaryBar

We call those Fitz-Hugh Curtis adhesions. They are classically from either gonorrhea or chlamydia. This is a result of the 'bug' getting from the tubes into the peritoneal cavity and settling up by the liver and causing the adhesions ( and it could have happened decades ago, and not resulted in true infertility). I have never done extensive research into the disease, but I suppose they could also be from any kind of intraabdominal infection that settled up by the liver...Dr. von Almen

At Fri, 1 Aug 2008, MaryBar wrote: >
>I am in need of some serious advice. I just had my gallbladder out a
>week ago. (Many stones.) The surgeon told me I had "extensive adhesions
>of the liver" indicating that at one time I must have had either PID,
>hepatitis or severe Mono. (!!) The problem is, I have zero risk
>factors/symptoms for any of those illnesses. I have been in a
>monogamous relationship for over 25 years, have never had mono (if I
>did, it was mild) and certainly don't have hepatitis. (Immunized to hep
>B, no known exposure or risk for A or C.)
>
>I am just stunned! When I asked him if anything else could have caused
>the adhesions he just shrugged and said "not really." I am ready to call
>my GYN and get in for a full set of cultures..I am now feeling paranoid
>and distrustful possibly needlessly. It's a terrible feeling.
>
>I live the most boring, clean life you can imagine. I've had three
>children without any problems or issues with fertility. (One would
>think if I had a massive pelvic infection that traveled all the way to
>my liver, I'd have some symptoms, as well as possibly blocked tubes,
>etc.)
>
>I'd REALLY appreciate some opinions on this. I'm at a loss. Thanks in
>advance for any input.

--
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William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.



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