What should be done about tubal inflammatory adhesion with a small amount of fimbrial effusion and pelvic effusion?

Patient's question:

2 March underwent hysterosalpingography: Under fluoroscopy, images taken at different times after the injection of contrast medium showed that the uterus appeared triangular, slightly shifted to the left, with a long cervix. The proximal part of the left fallopian tube showed segmental changes, while the distal part was non-visualized. The proximal part of the right fallopian tube appeared normal, while the distal part showed a worm-like change, with the fimbriae appearing as a drumstick-like or mass-like high-density shadow. There was diffuse contrast medium in the pelvis, and a fluid shadow was observed in the pelvic cavity.
Diagnosis: 1. Tubal inflammatory adhesion with mild fimbrial effusion and pelvic effusion. What should be done with tubal inflammatory adhesion with mild fimbrial effusion and pelvic effusion?

Doctor's answer:

Adhesions of the fallopian tubes with some hydrosalpinx and pelvic effusion. The pelvic effusion is not severe; the main goal is to separate the adhesions of the fallopian tubes, completely eliminate the hydrosalpinx, and restore the patency of the fallopian tubes, making it possible to conceive. Laparoscopy should be performed. At your age, the success rate of getting pregnant using a culture dish is very low. You can further consult for a detailed understanding. Additionally, for patients with pelvic effusion, diet and care during treatment are also very important. Patients must digest vitamins, prevent stomach problems, and maintain a light diet to avoid unnecessary harm.

📌 Related Posts