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Re: GYNECOLOGIC: Adhesions without prior surg. ?GYN related?
From: MaryBar (anonymous@obgyn.net)
Fri, 1 Aug 2008 22:36:24 -0500 (CDT)
Dr. van Almen,
Thank you for your timely reply. I am still puzzled about the PID
issue, however, because as I said I have never had Chlamydia nor
Gonorrhea. (Unless my husband does, and that would be a WHOLE different
story, wouldn't it?) Nor can I recall any intra-abdominal infectious
process.
I will be seeing my GYN ASAP. Needless to say, this has me frazzled. I
am very appreciative of your reply.
Mary
At Fri, 1 Aug 2008, William F. von Almen, II, MD, FACOG wrote:
>
>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.
>
>--
> Note: Opinions expressed here are for educational purposes
> only and, as such, do not constitute a physician-patient
> relationship. This information is not intended to supplant
> the need for you to consult with your physician prior to
> choosing therapeutic options and/or interventions.
> ** Private emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>
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