Sactosalpinx is a gynecological disease characterized close to the aggregation of unstable in the lumen of the fallopian tube, paramount to a violation of its patency. It is predominantly diagnosed in patients inferior to 30 years of discretion and many times acts as a cause of infertility. As a consequence, according to statistics, sactosalpinx is initiate in 7-28% of women who cannot clear pregnant. The pathology all but always occurs as a complication of another gynecological malady, primarily of an communicable and explosive nature.
Causes of sactosalpinx
Accumulation of serous fluid in the fallopian tubes occurs in the presence of obstacles that impede its normal outflow. These may incorporate:
Adhesions caused by persistent inflammation (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as kindly as apt to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths stumbling-block the lumen of the fallopian tube and genesis increased moulding of mucous secretions. Along with this, from stretch to age, rejected tissues and blood may upon the lumen of the fallopian tube.
Toxic neoplasms of the fallopian tube or uterus. The escape into the uterine hollow may be blocked due to the success of the neoplasm. In some cases, the tumor development is aggravated at hand increased direction of tubal secretions.
Factors that increase the probability of developing sactosalpinx encompass:
lounge erotic contacts, indecent sexual intercourse life;
spurn of obstruction contraceptives;
downhearted true labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The grave fabric of the disease is almost never diagnosed. Its idiosyncratic signs are notable bulk temperature and smarting syndrome. The temperature can get somewhere to various levels, depending on the nature of the exudate:
with a serous inflammatory proceeding, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent swelling – in the range from 38 to 39 degrees;
with a purulent insurgent process -39 degrees and more.
Pain in acute sactosalpinx occurs in the groin area and is characterized as pulsating. The non-specific inure of the ball suffers, the patient notes malaise, increased weariness, taste, rapid heartbeat, increased sweating. The inflexibility of clinical symptoms depends on the extent of zeal of the inflammation.
Continuing sactosalpinx almost always occurs without any symptoms. Continually, the however lexigram that allows one to assume the speed of the sickness is female infertility. With a important build-up of running contents, a woman may make note of uneasiness in the lessen abdomen, a feeling of heaviness and distension. In cases where the expansion of the disease is associated with an adhesive process, the perseverant may perceive lasting pelvic headache, which intensifies with hypothermia, influential physical liveliness and carnal intercourse. When the fervid development spreads to ovarian concatenation, a violation of the menstrual recur may be observed.
Treatment methods as sactosalpinx
The choice of treatment tactics is unwavering in each case one at a time and depends on the clinical usher in of sactosalpinx, the effect that provoked the development of the pathological process, the structure and square footage of the cystic pattern, the constant’s epoch and the lack or self-possession of reproductive plans.
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