Loculated right Spill- fimbrial adhesions

Patient

Q: My wife had pain on abdomen, she went to see a gynecologist who sent her for xray.. the results .. Loculated right spill- due to fimbrial adhesions
what does this mean. We have no child yet

Symptoms:  Abdominal pain
Doctor

A:   Hello,
If you have been trying to conceive for a year now and the HSG or hysterosalpingogram says that there is a loculated spill on the right fallopian tube it indicates partial blockage of the tube on the right sideband a possible development of hydrosalpinx on the right side causing pain in lower abdomen due to stretching of tube .This is generally seen in cases of pelvic tuberculosis. It is suggested that you visit you physician and rule out tuberculosis first with MTB-PCR lab test with sample available after culdocentesis. If detected then anti -tb treatment has to be started and continued for 9 months, else a laparoscopic fimbriolysis or fimbriotomy would be required to break the adhesions in the right tube and allow drainage of collection , followed by a course of antibiotics. If the tube is destroyed then a possible salpingectomy or removal of the tube may have to be done.
TB or destroyed tube are poor prognosis for fertility , so please visit your physician and discuss the options in detail , and take an informed decision.
I hope i have answered your query in detail,
wishing you good health,
regards

Related Q&A

Q: My wife and I are both 44 years old. We previously did not want to have babies. However we are now thinking to have b...

Q: Is 300 total testosterone normal for a 30 year old male?

Q: As long as when I produce semen when I masturbate that means I can have kids. Correct?

Q: Would like to get a professional's advice on my blood work results. I'm mainly looking to find out if anything on her...

Q: My wife and I are trying to have a baby and are using a fertility monitor to pinpoint the best dates each month to ha...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews