WOMENS-HEALTH Messages for March, 1998: Re: 4 weeks post TAH-BSO; abdominal mass?

Re: 4 weeks post TAH-BSO; abdominal mass?

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Fri, 13 Mar 1998 19:46:03 -0600 (CST)

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Reply: B.: "Re: 4 weeks post TAH-BSO; abdominal mass?"

At Fri, 13 Mar 1998, B. wrote: >
>I am 4 weeks post TAH-BSO during which my DR also removed severe
>adhesions on the right side along with my appendix (which was doubled
>over on itself and fused to my colon with adhesions). He also performed
>a Burch bladder suspension. Adenomyosis was suspected but the path
>report was negative.
>
>Went for my 4 week check and Dr did an internal exam. He apparently did
>not like the feel of my abdomen and ordered a sono, scheduled for next
>week. There are some hard areas around the incision, and my abdomen is
>somewhat swollen (normal, I thought -- or is it?). It was painful when
>he palpated the area but I am otherwise doing well.
>
>Question: what might be the problem? Could new adhesions have formed
>this quickly? I like to be informed and would like to know what the
>possibilities are before I go for the sono. Thanks for any help you can
>give!
>

IMHO, the likelihood that adhesions are the reason for the "swelling" is small. The best bet is that you may have had a collection of blood develop near the incision, a very common occurence, and almost always self-resolving >

Dr.B

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