I had a laparoscopic appendectomy on 7/13. According to the surgeon, my appendix was pretty beat up, but not perforated. My recovery was surprisingly easy. I had almost no pain and was able to resume my normal work and home activities (with a lifting restriction of >15#) within a week of the surgery.
On 7/21 afternoon, I felt a sharp stabbing pain in my upper right abdomen and then a dull ache in my lower right abdominal quadrant. My temp was 99.5 and I felt very tired. I called the surgeon that evening and was told to go to urgent care if the pain or fever became worse. At around 1:30 AM on 7/22 I woke up because of a moderat steady dull pain with fairly sharp pain on palpation in my lower right quadrant. I was referred to the ER by the urgent care nurse and was admitted to the hospital. The CT scan showed a moderate amount of fluid, but no leaking of contrast fluid or air in my pelvic peritoneal cavity. My WBC was normal. I asked about the path report for my appendix (just out of curiousity) and they said that the appendix was obstructed by lymph tissue and the mucosa was eroded and necrotic. I guess it was typical acute appendicitis.
I received two different antibiotics IV and pain meds 7/22 to 7/24. I was NPO 7/22 and clear liquids only 7/23-4. By my observation, my abdomen gradually became more swollen and tender. This morning (7/24), however, my WBC was still normal (even less than on 7/22) the CT scan showed no change in the amount of fluid. The surgeon had his resident inform me that because I seemed otherwise healthy (normal temp and WBC) that the fluid must be left over from the surgery. He discharged me with rx for amox/clavulanate 875-125 mg and percoset. When I asked the resident about the acute onset so long after surgery, he said that he wondered about that as well. The resident said that he talked with the radiologist about the possibility of an ovarian cyst, but there was no evidence of that in the CT (not only that, I am having my period and am shockingly regular). I am now at home feeling nauseous and tired with upper and lower right abdominal pain and swelling. I hope the surgeon is correct - that this is normal and will just resolve itsself, but am not satisfied with his explanation. Any ideas about the delayed onset of post surgical fluid and pain? Also, the resident wasn't able to tell me how long this normal post surgical reaction should last.
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