CT scan results

[Dar584]

I had a hysterectomy 6/27/07 and since then have had some pain in my right flank and right pelvic area.  I also had a UTI that didnt want to clear up after a few rounds of antibiotics.  My general practicioner ordered a CT scan which showed a couple bilateral non obstructing renal calculi. Fatty infiltration of the liver, and a well defined non enhancing hypodensity (5.1cm x 5cm) in the right adnexa probably representing an ovarian cyst.  I followed up with my obgyn/surgeon because it was recomended that I have an ultrasound.  I am having the ultrasound next week.  He said if it is a cyst it doesnt matter because he was just in there in June and said it would not likely be cancer.  He also said they might have just seen my cervix.  He is more concerned about what he thinks is a supraumbilical ventral hernia.  I am not worried about cancer either but is it appropriate to just be like oh well it is a cyst no big deal.  I know that the vast major are benign and will resolve on their own.  Also should I be concerned about the fatty infiltates in my liver.  My dr. looked at me concerned and asked me if I drank.  If I have 5 drinks in a year that is a lot for me so I dont think that is an issue.  What else could cause this.  I am over weight but not extremely obese.  I am 5'3" and weight about 154 lbs.   And could it really be possible for a hypodense area to be my cervix?  Any thoughts appreciated.

[Keith Downing, MD]

Hello,

Your ob/gyn has counseled you well.  If there are any concerns about having an ovarian cyst you can have it followed by ultrasound.  The characteristics of the cyst, your age and family history would help determine any potential risk for ovarian cancer.

In terms of the liver findings, I'd suggest you be seen by a gastro-intestinal physician to help determine what if anything should be done regarding those findings.  

I would encourage you to continue to follow up with your ob/gyn.

Best regards,

Dr. Downing  

[kitten08]

first of all, a dr. doing a hysterectomy in the 2000 should have asked you or told u that leaving the ovaries in when doing a hysterectomy is dangerous because there is no test for ovarian cancer after a hyst. most feel it is better to take them as well to prevent cancer later. i suggest u get a second ct or mri. the fatty liver and no alcohol problems may need more testing.

[kellygill]

Hi, I have similar pain in my pelvic area also.  I too have had a hysterectomy in May of 07 but I still have my ovaries and cervix.  Because of pain I had a CT scan and it showed cysts on both ovaries so I thought.  I had two ultrasounds, one being vaginal and both were conclusive that I had cysts on both ovaries but that one of my tubes was blocked and filled with fluid.  I went today to have my third ultrasound, on top of stomach and vaginally by a specialist and he said that both ovaries are fine, the problem is that both tubes are blocked and filled with fluid and that was being mistaken for cysts.  So maybe you might mention that to the doc.  After my hysterectomy I too was thought ot have a hernia but was told that it was little and would probably heal itself as long as I didn't lift heavy objects etc...so far it seems ok but still hurts and burns on occasion...do you have a burning feeling also and is it right above your belly button? I also had fat on my liver (results shown after a liver biopsy) and was asked the same question if I drank.  I do drink occasionally but not enough to develop liver problems so I thought.  I have cut out all alcohol...even if it was just alittle and now my liver enzyme counts are normal?  So good luck to you and let me know how you make out!! PS...I think it was inappropriate for your doctor to act like your cysts are no big deal...very unprofessional!!