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Thread: Ttc 2013
April 18th, 2013 03:29 PM #696
Poppy, I am very sorry. The condition as you know is called a hydrosalpinx (hydro = water, fluid; salpinx = tube) and that is exactly what intraabdominal or intrapelvic adhesions causes. They are cobwebby bands which choke off the tube, and the fluid builds up in side.
Here is a normal HSG. You can see the Fallopian tubes are open, but very long and thin. Some people aren't aware that the tubes and ovaries are *not* connected. When you ovulate, the egg is released into the pelvis, and is swept up by the fimbriae (finger-like projections) at the very end of the tube. If sperm are swimming upwards, they meet in the tube and fertilization occurs there. If fertilization were to occur freely in the pelvis, the rare but very serious condition of abdominal pregnancy can develop. Anyway, in an HSG the dye spills out freely into the pelvis since the tubes are just open at the end:
If the tube is blocked, from scarring from a prior ectopic/pelvic inflammatory disease, thick mucus, etc, it looks like this. Here you can see the massively dilated tubes which are blind pouches; no dye is exiting.
INtraabdominal/pelvic adhesions look like this. It might be difficult to appreciate if you've not trained your eye, but all of the pearly thin-looking bands connecting the different structures should not be there:
Last edited by blade; April 18th, 2013 at 04:43 PM.XY: Antoine Raphael (3.1.2012)
XX: Cassia Viviane Noor (11.30.2013)
April 18th, 2013 03:58 PM #698
Blade, that is really fascinating and interesting, even for the rest of us. Thank you.
Alzora, your post was incredible. Thank you so much for sharing that. Your hard-earned wisdom is an excellent reminder of how blessed we all truly are, BFP or not.
Sitting here, 7 DPO, wondering, obsessing... It's so easy to let life pass me by while I turn one thought over and over in my mind like a pebble in a stream. It's wasted energy, though, it truly is. My symptoms, this early, mean next to nothing, and I won't know anything for days, so why fret?
You've inspired me to stop googling my ass off. This is stupid. I'm gonna go somewhere. :-)
Have a lovely day, ladies.
April 18th, 2013 04:43 PM #700
Some patients with chronically infected abdomens heal entirely by the vaccum. It's left in place for months and the resulting scar is very wide, very broad, and very ugly. Your scar is clearly surgical and mimics an incision, therefore your abdomen was officially closed. It might have been closed by a technique called delayed primary closure, where large retention sutures were left in place and the abdomen was formally closed after a few days, but it was definitely sutured closed. Which makes sense given your case and the type of injuries you sustained. If you had perforated your bowel, had massive intestinal injuries and resultant peritoneal infection, with abscesses and fistulae, then you would have been closed secondarily by a wound vac, and you would not like the results aesthetically.XY: Antoine Raphael (3.1.2012)
XX: Cassia Viviane Noor (11.30.2013)
April 18th, 2013 07:10 PM #702Senior Member
- Join Date
- May 2012
Wooow, I'm starting to understand this now! Okay I am definitely one of those people who thought that the ovaries were connected to the Fallopian tubes. I had quite a different idea of how things went on in there. So when blocked Fallopian tubes get pumped full of dye, does the dye just sit in them forever since it can't run out? And apart from obstructing the Fallopian tubes, are such adhesions a danger in other ways? They could be anywhere inside of me! My final tally:
Fractured vertebrae in the neck
Ten broken ribs
Two collapsed lungs ("traumatic pneumothorax without open wound into thorax")
Spleen went to be with Jesus ("Spleen laceration extending into parenchyma without mention of open wound into cavity")
Pelvis was shattered to smithereens (paraphrased)
Urethra and vagina were each sliced in half
Bladder...I don't know what happened to it exactly but the urologist later told me that it was beyond recognition
And lastly, blood blood blood. Blood everywhere.
Any number of things could be stuck together inside of me now! I am a walking mess of tangled guts.
So are you a trauma surgeon, Blade? Is that your specialty? God bless you. To face such injuries and not run out the back door...that takes guts, if you'll excuse the pun.
Your description of a wound vac, particularly the bit about the wound being packed with towels, sounds amusingly like taxidermy. So I was stitched up at some point, then? I mean I have no idea what went on. I was so busy...I was hallucinating on methadone...as soon as my tubes were out and I could talk again, I thought that one of the male nurses and I were providing voices for characters on the old '90s TV show Dinosaurs...and then I thought I gave myself an abortion but I was a virgin at the time...and yes, I did break the news of the abortion to my parents and fiance quite dramatically there in the hospital. I did not have time, with all that going on, to check for stitches, though I've had this idea that there were none. When I was discharged and sent off to rehab, two guys came in and put all these little pieces of tape across my scar--Steri tape?--and I looked like a Halloween cartoon until the tapes fell off weeks later one by one. But if you say that scar was stitched earlier, then I don't doubt it. It's possible that it happened during one of my Dinosaurs performances with Craig the Nurse and I was too engaged to notice. It's even more likely that it happened earlier, during the stage of which I have no memory. Anything can happen when you're in Methadone Land.
Sorry, guys...I get regaling you all with my war stories here and take up all of our TTC space. Speaking of space, we're on like page 70 of TTC 2013 and it's only April! We are a chatty bunch.
Last edited by alzora; April 18th, 2013 at 07:30 PM.
April 18th, 2013 07:41 PM #704
Alzora, your posts have been very inspiring today so I wanted to thank you for sharing it with us. I've never broken a bone in my body so I can't even imagine the magnitude of trauma you've been through. I do know what its like to heal a giant abdominal incision like that though! We all have a lot to be grateful for whether we know it or not.“And remember, my sentimental friend, that a heart is not judged by how much you love, but by how much you are loved by others.” L. Frank Baum, The Wizard of Oz