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Does Enlarged Ovary Cause Tethering Of Colon?

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Posted on Wed, 29 Oct 2014
Question: Hi
Two years ago a transvaginal ultrasound found left ovary enlarged (volume 31.6cc). There was a thick walled hypoechoic lesion of 25x24x21cm without vascularity plus 2 simple cysts of 17mm and 20mm. Saw a gynaecologist who said don't worry about it. Two years on I have a lot of abdominal pain after eating and because I have a clotting disorder an ultrasound was performed to check for mesenteric thrombosis. This ultrasound showed left ovary 30cc in volume and 27mm and 31mm cysts further study was recommended. since then I have had a colonoscopy and endoscopy which showed hiatus hernia, prominent crosslinking veins in gastric body, diverticular disease in mid and distal sigmoid colon and extrinsic tethering of distal colon making passage difficult. I am waiting to receive biopsy results next week.
My question is could the enlarged ovary be causing the tethering of colon what should I do? I live in a remote area and my GP will only do something if I ask her to.
doctor
Answered by Dr. Soumya (1 hour later)
Brief Answer:
MRI Scan

Detailed Answer:
Hello,

I read your query and I understand your concerns.

Following is my reply:

1) Enlarged ovary if pressing on the distal colon is leading to obstruction of colon, it can be diagnosed on MRI scan. You can request for an MRI.

2) MRI will tell if there is compression effect of ovary.

3) Though the chance of enlarged ovary pressing colon and making such a difficulty in passage is unlikely MRI will confirm it.

Let me know if you have any more doubts.

Regards,

Dr. Soumya
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Soumya

OBGYN

Practicing since :2010

Answered : 3106 Questions

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Does Enlarged Ovary Cause Tethering Of Colon?

Brief Answer: MRI Scan Detailed Answer: Hello, I read your query and I understand your concerns. Following is my reply: 1) Enlarged ovary if pressing on the distal colon is leading to obstruction of colon, it can be diagnosed on MRI scan. You can request for an MRI. 2) MRI will tell if there is compression effect of ovary. 3) Though the chance of enlarged ovary pressing colon and making such a difficulty in passage is unlikely MRI will confirm it. Let me know if you have any more doubts. Regards, Dr. Soumya