{"id":3526,"date":"2026-02-26T16:54:00","date_gmt":"2026-02-26T13:54:00","guid":{"rendered":"https:\/\/wiki.voka.io\/glossary\/adherences-pelviennes\/"},"modified":"2026-02-26T16:54:03","modified_gmt":"2026-02-26T13:54:03","slug":"adherences-pelviennes","status":"publish","type":"glossary_item","link":"https:\/\/wiki.voka.io\/fr\/glossaire\/adherences-pelviennes\/","title":{"rendered":"Adh\u00e9rences pelviennes"},"content":{"rendered":"\n<p>Les adh\u00e9rences pelviennes correspondent \u00e0 la formation pathologique de brides fibreuses conjonctives (palonniers, membranes) entre le p\u00e9ritoine visc\u00e9ral des organes pelviens (ut\u00e9rus, trompes, ovaires, vessie, intestin) et le p\u00e9ritoine pari\u00e9tal. <\/p>\n\n<p>Le processus entra\u00eene une alt\u00e9ration de la mobilit\u00e9 anatomique des organes et une distorsion de leur topographie.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x44D;&#x442;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;-&#x438;-&#x43F;&#x430;&#x442;&#x43E;&#x444;&#x438;&#x437;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;\"><strong>\u00c9tiologie et physiopathologie<\/strong><\/h2>\n\n<p>La formation d&rsquo;adh\u00e9rences est une r\u00e9action de d\u00e9fense universelle du p\u00e9ritoine face \u00e0 une agression. En cas d&rsquo;inflammation (tuberculose, chlamydiose), d&rsquo;isch\u00e9mie, de traumatisme m\u00e9canique (chirurgie) ou d&rsquo;endom\u00e9triose, les cellules m\u00e9soth\u00e9liales s\u00e9cr\u00e8tent un exsudat inflammatoire riche en fibrinog\u00e8ne. Sous l&rsquo;action de la thrombine, celui-ci se transforme en fibrine, laquelle \u00ab recolle \u00bb les surfaces, localisant ainsi le foyer.   <\/p>\n\n<p>En conditions normales, la fibrine doit \u00eatre lys\u00e9e par des enzymes (activateurs du plasminog\u00e8ne) en 3 \u00e0 5 jours. Si la fibrinolyse est entrav\u00e9e par une isch\u00e9mie ou une infection, des fibroblastes synth\u00e9tisant du collag\u00e8ne migrent dans la matrice de fibrine, et de nouveaux vaisseaux se forment (n\u00e9oangiogen\u00e8se). Une cicatrice dense et vascularis\u00e9e se constitue alors.  <\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-&#x43A;&#x43B;&#x438;&#x43D;&#x438;&#x447;&#x435;&#x441;&#x43A;&#x43E;&#x435;-&#x437;&#x43D;&#x430;&#x447;&#x435;&#x43D;&#x438;&#x435;\"><strong>Signification clinique<\/strong><\/h2>\n\n<p>Les adh\u00e9rences provoquent une occlusion m\u00e9canique (obstruction) et une d\u00e9formation des trompes de Fallope, alt\u00e9rant la capture de l&rsquo;ovocyte par les fimbriae, ce qui constitue la cause principale de l&rsquo;infertilit\u00e9 tubo-p\u00e9riton\u00e9ale. La fixation rigide des organes limite leur d\u00e9placement physiologique lors du remplissage de la vessie ou de l&rsquo;intestin, ce qui provoque des douleurs pelviennes chroniques et une dyspareunie profonde. Dans les cas graves (syndrome du \u00ab pelvis gel\u00e9 \u00bb), une obstruction intestinale par strangulation peut survenir.  <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les adh\u00e9rences pelviennes correspondent \u00e0 la formation pathologique de brides fibreuses conjonctives (palonniers, membranes) entre le p\u00e9ritoine visc\u00e9ral des organes pelviens (ut\u00e9rus, trompes, ovaires, vessie, intestin) et le p\u00e9ritoine pari\u00e9tal. <\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-3526","glossary_item","type-glossary_item","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Adh\u00e9rences pelviennes : d\u00e9finition m\u00e9dicale et description | Voka Wiki<\/title>\n<meta name=\"description\" content=\"Les adh\u00e9rences pelviennes correspondent \u00e0 la formation pathologique de 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