Re: adhesions from the cecum to the abdominal wall
From: cathy:- (anonymous@medispecialty.com)
Mon Dec 16 07:07:29 2002
Well this is a fairly controversial theory, but do you have pain at
ovulation? My internist believes that this pain (which is called
"mittelschmertz") is caused by an abnormally large amount of fluid being
released with the egg at ovulation, and then the fluid causes
inflammation and inflammation causes adhesions. Every gyn I have ask
about this theory has pooh-poohed it -- both my own gyn, and also the
doctors on the obgyn.net question board. But none of them had any logic
as to why this would be absurd, other than repeating robot-like that
mittelschmertz is always benign.
Another source of adhesions is not at all controversial, and doesn't
involve surgery, a blow to the abdomen, or an infection -- which is that
a burst ovarian cyst will certainly cause adhesions. Actually the
mittelschmertz theory, if you think about it, is really a theory about
ovarian cysts. It says that the normally ripening ovarian follicle gets
enough fluid in it that it behaves like a baby cyst.
Both of these are kind of long-shots, though. I think that an exploding
cyst typically gives an adhesion pattern which looks a lot like what you
would see from an infection -- in other words, like an explosion at a
glue factory. Not adhesions confined to one small space. But on the
other hand, no one really understands the mechanisms of adhesions, and
why some people don't get them even though they have abdominal surgery.
It is possible that at some point years back you had an ovarian cyst
that exploded, or a PID that you didn't know you had, and by whatever
mysterious process which the human body clearly has in some cases, your
body "cleaned up" massive adhesions everywhere except in that one spot.
And it was long enough ago that none of those cleared-out adhesions have
left the slightest sign.
Adhesions are mysterious in many ways. It is estimated that about a
third of all Americans have adhesions. That's 90,000,000 people. That's
a HUGE number. It is very clear that the vast vast majority of those
people have no problems at all. So if you have adhesions and no obvious
cause, it wouldn't be the biggest adhesion mystery out there!
--
cathy :-)
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