K66.0

Clinical Causes: Previous abdominal or pelvic surgery, including appendectomy, hysterectomy, or bowel procedures Peritonitis, an infection of the peritoneum (the lining of the abdominal cavity) Infections caused by conditions like tuberculosis or pelvic inflammatory disease Severe abdominal trauma or injury Radiation therapy directed at the pelvis or abdomen Endometriosis involving the peritoneal surfaces Certain medical or surgical procedures that disrupt normal tissue healing

Key Symptoms: Chronic or intermittent abdominal pain or discomfort Bowel obstruction symptoms, such as nausea, vomiting, and constipation Adbomen tenderness or swelling Difficulty with bowel movements or passing gas Reduced appetite or unexplained weight loss Infertility or difficulties conceiving in some cases (especially when adhesions involve reproductive organs)

Diagnosis Path: Medical history review focusing on prior surgeries or infections Physical examination to detect abdominal tenderness and distention Imaging tests such as ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI) to identify abnormalities Laparoscopy, a minimally invasive surgical procedure, to directly visualize and confirm adhesions Barium studies or contrast imaging to evaluate bowel function and obstructions

Treatment Protocols: Conservative management with pain relievers and anti-inflammatory medications Physical therapy and adhesion barriers during surgery to minimize new adhesions Laparoscopic or open surgery to divide and remove adhesions when they cause significant symptoms or obstructions Postoperative care to prevent adhesion formation, including proper wound healing techniques Monitoring and follow-up for recurrent symptoms or complications