WOMENS-HEALTH Messages for February, 2002: Re: LAST POST LOST Ct -IBD, abdominal wall mass ( recurrent endometrioma)?

Re: LAST POST LOST Ct -IBD, abdominal wall mass ( recurrent endometrioma)?

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 3 Feb 2002 13:22:53 -0600 (CST)

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In reply to: RareEndo: "LAST POST LOST Ct -IBD, abdominal wall mass ( recurrent endometrioma)?"

At Sat, 2 Feb 2002, RareEndo wrote: >
>Basically this is a two part discussion question.
>
>Brief history is c-section 4/95 laparoscopy 7/98 c-section 6/99
>abdominal surgery 6/2000.
>
>The last surgery was biopsy suspected lymph node in the abdominal
>wall,poss hernia. The questionable node on CT and surgery proved to be
>a baseball sized endometrioma on the abdominal wall/muscle. No hernia.
>I had mesh and tacks 10x10cm in place to repair the defect and a drain.
>I never had real relief from this surgery was told pain now from the
>mesh getting settled and pain from the muscle being excised.
>
>Recently saw a general surgeon and ob/gyn for possibly recurring
>endometriosis in the same area. I do not have pelvic endo (proven at
>lap in 98 anyway). I've done all other non surgical treatments without
>relief. (Including Lupron, Continuous BCP etc) 3 weeks ago I had
>another CT scan which showed a mass approx 3-4cm diameter in the same
>area as the mesh. Instead of going in and getting the mass out the
>surgeon is going to perform a needle aspiration to see if it is an
>endometrioma or something else ie: infected mesh. Would the needle
>aspiration cause if an endometrioma spreading??????
>

Rare

Doubtful unless cells are alive and usually only get fluid out.

>Secondly on the CT scan there is shown an area of bowel thickening. I'm
>having also done a small bowel follow through to rule out IBD. Is there
>anything other than (too much contrast in the CT - doubtful) or IBD that
>would result in thickening of the bowel. I've had this before but was
>told without full evaluation I had IBS probably because of the endo and
>previous health issues.

Rare

I do not know the answer to this, surgeon will have to help here

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: Helen: "[Birth Control] contraception"
Previous message: Jenny: "Re: Cytotec for labor induction"
In reply to: RareEndo: "LAST POST LOST Ct -IBD, abdominal wall mass ( recurrent endometrioma)?"

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