Sactosalpinx is a gynecological disability characterized at hand the mass of unfixed in the lumen of the fallopian tube, unequalled to a violation of its patency. It is mainly diagnosed in patients covered by 30 years of duration and ordinarily acts as a root of infertility. Thus, according to statistics, sactosalpinx is initiate in 7-28% of women who cannot apprehend pregnant. The pathology barely always occurs as a dilemma of another gynecological disease, primarily of an transmissible and inflammatory nature.
Causes of sactosalpinx
Accumulation of serous fluid in the fallopian tubes occurs in the equanimity of obstacles that hold up its normal outflow. These may contain:
Adhesions caused through long-standing inflammation (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as kindly as due to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths block the lumen of the fallopian tube and agency increased manufacturing of mucous secretions. Along with this, from spell to tempo, rejected tissues and blood may take up the lumen of the fallopian tube.
Toxic neoplasms of the fallopian tube or uterus. The store into the uterine hollow may be blocked right to the growth of the neoplasm. In some cases, the tumor development is aggravated by increased direction of tubal secretions.
Factors that expanding the likelihood of developing sactosalpinx embody:
lounge erotic contacts, uncritical sexual intercourse human being;
slight of hindrance contraceptives;
gloomy true labor.
Symptoms. sactosalpinx
The clinical duplicate of sactosalpinx depends on the characteristics of the pathological process. The critical fabric of the condition is seldom diagnosed. Its characteristic signs are illustrious body temperature and smarting syndrome. The temperature can get somewhere to various levels, depending on the nature of the exudate:
with a serous passionate process, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent redness – in the sphere from 38 to 39 degrees;
with a purulent incendiary development -39 degrees and more.
Pain in violent sactosalpinx occurs in the groin area and is characterized as pulsating. The extensive brainwash of the ball suffers, the invalid notes malaise, increased exhaust, puniness, express heartbeat, increased sweating. The painfulness of clinical symptoms depends on the station of focus of the inflammation.
Long-lived sactosalpinx regularly occurs without any symptoms. Instances, the just lexigram that allows one to arrogate the course of the ailment is female infertility. With a significant accumulation of flowing contents, a girl may note uneasiness in the move abdomen, a feeling of heaviness and distension. In cases where the increase of the illness is associated with an adhesive change, the patient may sense long-standing pelvic affliction, which intensifies with hypothermia, influential manifest vim and earthy intercourse. When the rabid process spreads to ovarian web, a profanation of the menstrual course may be observed.
Treatment methods as sactosalpinx
The choice of treatment tactics is purposeful in each suit separately and depends on the clinical aspect of sactosalpinx, the cause that provoked the expansion of the pathological treat, the organization and square footage of the cystic development, the compliant’s epoch and the absence or manifestation of reproductive plans.
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