Adhesion

Causes and Risks:
Inflammation or trauma can cause tissues to bond to other tissue or organs (much like the process of forming scar tissue). Sometimes, fibrous bands (adhesions) can be formed between the two surfaces. Abdominal surgery, congenital bands, or attacks of appendicitis can also cause this condition.

Depending on the tissues involved, adhesions can cause various disorders. For example, adhesion of the membranes around the heart (pericardial sac) occurs, pericarditis can result. In the eye, adhesion of the iris to the lens can lead to glaucoma . In the intestines, adhesions can cause partial or complete bowel obstruction . Intrauterine adhesions occur often enough they have a name of their own (Asherman syndrome). Pelvic adhesions can lead to infertility and reproductive problems.

Prevention:
Unknown.

Symptoms:
See the associated disorders.

Signs and Tests:
Physical examination varies depending on the location of the adhesion. Various tests, such as a laparoscopy for suspected pelvic adhesions, may be recommended.

Treatment:
The treatment is usually surgery to separate the adhesions. This is often sufficient to allow normal movement of the organ and to reduce the symptoms caused by the adhesion.

Prognosis:
The outcome is usually favorable.

Complications:
Pericarditis , glaucoma , infertility , and bowel obstruction are possible complications of adhesion.

Call Your Healthcare Provider:
Call your health care provider if you are experiencing abdominal pain , chest pain , or unexplained fever .