Discussions By Condition: I cannot get a diagnosis.

Abdominal pain & frustration

Posted In: I cannot get a diagnosis. 7 Replies
  • Posted By: pmb958
  • June 28, 2007
  • 09:45 PM

Any advice is appreciated. I had a scheduled laproscopic hysterectomy last month. Three days after discharge from hospital I had to be readmitted for a small bowel obstruction. I am healing slowly with the exception of a nagging mild pain in my upper right abdomen. It comes and go. It's a light stab pain and has a little ache to it. My PCP told me it's part of the healing process and see the surgons who did the operations. I called both of them and they told me to wait until my appointments with them. One is July 13th and the other July 17th. The pain is very mild but it's frustrating.

Any advice on what this could be?


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7 Replies:

  • There are some places in the abdomen that can collect fluid post surgery. Look up the "abdominal cul-de-sac". Fluid can be detected with an ultrasound or just by good guessing on the part of the surgeon. The fluid can be removed via a CT-guided needle drainage...through the butt! Or course they deaden the area and should give you conscious sedation.
    rad-skw 1605 Replies Flag this Response
  • Sorry, I didn't read "upper right" on my first look at your message. Maybe you are growing some adhesions from the bowel obstruction problem. Did they do surgery?
    rad-skw 1605 Replies Flag this Response
  • Thanks so very much for the reply.In answer to your question, yes they did do surgery. I had 27 metal staples in my tummy! I hope my problem is nothing major. I never though about adhesions or abdominal cul-de-sac(I never knew of this ). The second surgery was needed because of the small bowel being injured during the first surgery(hysterectomy).I don't have cancer so I wish I would have never had the first surgery because of what I have gone through. I should have suffered with the pain from the tumors a week each month. The surgeron told me the day after the surgery that once you have a small bowel obstruction you can have another in the future months or years later. Wow! That makes me angry and scared. I hate, hate, hate these surgeries days apart. OK, enought of me venting my anger.Thanks again,
    pmb958 3 Replies Flag this Response
  • I'd request an X-ray and ultrasound. If it was laprascopic I doubt they left any surgical instruments, but I'd request an x-ray anyway.
    Anonymous 42789 Replies Flag this Response
  • Thank you for your reply. You have confirmed what I have been thinking about but I haven't mention it to my family or friends. I have been wondering if something was left in or not completely removed from the laprosccopic hysterectomy and the abdominal bowel obstruction days later.I was wondering if I should ask for a more advanced test like a MRI that I had before the surgery or just an ultrasound/ x-ray?Patty
    pmb958 3 Replies Flag this Response
  • A simple KUB xray will show any metal or radiopaque sponges.
    rad-skw 1605 Replies Flag this Response
  • I finally know what caused the small bowel obstruction. The first surgeon who did the hysterectomy told me that his surgery had nothing to do with the SMB. The second surgeon told me it did and I had adhesions. I requested a copy of my medical records because I felt that someone wasn't giving me the whole truth. Well, it turns out that the first surgeon had left some of the cut up uterus and fibroids in my abdomen and these attached themselves to my bowel!:mad:
    pmb958 3 Replies Flag this Response
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