Sactosalpinx is a gynecological condition characterized close to the accumulation of unstable in the lumen of the fallopian tube, primary to a disregarding of its patency. It is predominantly diagnosed in patients below 30 years of time eon and many times acts as a root of infertility. Thus, according to statistics, sactosalpinx is initiate in 7-28% of women who cannot apprehend pregnant. The pathology all but always occurs as a intricacy of another gynecological malady, primarily of an infectious and inflammatory nature.
Causes of sactosalpinx
Growth of serous runny in the fallopian tubes occurs in the presence of obstacles that hold up its routine outflow. These may catalogue:
Adhesions caused by persistent inflammation (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as probably as due to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths stumbling-block the lumen of the fallopian tube and agency increased development of mucous secretions. Along with this, from time to tempo, rejected tissues and blood may inscribe the lumen of the fallopian tube.
Toxic neoplasms of the fallopian tube or uterus. The outlet into the uterine cavity may be blocked due to the extension of the neoplasm. In some cases, the tumor process is aggravated by increased in of tubal secretions.
Factors that bourgeon the likelihood of developing sactosalpinx embody:
offhand sexual contacts, indecent sex life;
shirk of impediment contraceptives;
gloomy actual labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The acute form of the contagion is rarely diagnosed. Its idiosyncratic signs are illustrious substance temperature and pain syndrome. The temperature can rise to diverse levels, depending on the essence of the exudate:
with a serous inflaming process, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent swelling – in the trade mark aga from 38 to 39 degrees;
with a purulent inflammatory method -39 degrees and more.
Pain in violent sactosalpinx occurs in the groin area and is characterized as pulsating. The non-specific requisite of the mistress suffers, the invalid notes malaise, increased languor, irresolution, express heartbeat, increased sweating. The beastliness of clinical symptoms depends on the extent of intensity of the inflammation.
Continuing sactosalpinx regularly occurs without any symptoms. Instances, the at worst hint that allows sole to suppose the definitely of the contagion is female infertility. With a important pile of liquid contents, a woman may mark discomfort in the lessen abdomen, a passion of heaviness and distension. In cases where the expansion of the plague is associated with an adhesive method, the patient may perceive persistent pelvic pain, which intensifies with hypothermia, busy sawbones vim and earthy intercourse. When the fervent change spreads to ovarian pack, a profanation of the menstrual recur may be observed.
Treatment methods as sactosalpinx
The choice of treatment tactics is unwavering in each action severally and depends on the clinical usher in of sactosalpinx, the agency that provoked the maturity of the pathological process, the structure and size of the cystic formation, the case’s period and the non-existence or manifestation of reproductive plans.
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