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Hello Doctor, Good Morning, My Father Had A Black Mass

Posted on Wed, 23 Sep 2020

Question: Hello Doctor,
Good Morning,

My Father had a black mass on top of his left kidney and it was removed on 2017. For the last one year or so, my fathers operated area is getting swollen. He os also getting pain on the operated area. Requesting you to please refer the attached picture.

Please be informed that my father was diagnosed for Temporal arteritis and consuming medicine for that as well.

Follow up: Dr. Bhagyesh V. Patel (0 minute later)

Hello Doctor,
Good Morning,

My Father had a black mass on top of his left kidney and it was removed on 2017. For the last one year or so, my fathers operated area is getting swollen. He os also getting pain on the operated area. Requesting you to please refer the attached picture.

Please be informed that my father was diagnosed for Temporal arteritis and consuming medicine for that as well.

Answered by Dr. Bhagyesh V. Patel (12 hours later)

Brief Answer:
muscle wall weakness or incisional hernia at site of kidney surgery.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query with attached images and here is my advise.

* The swelling over the operated part may be in concern with underlying
muscle wall weakness or developing incisional hernia.

Kindly give me further details so that I can answer your query more precisely.

1. Since how much time period, you have noticed the swelling at operative
site ?
2. Do you notice any changes in swelling, particularly when he changes
posture, lie down or else ?
3. Apart from pain, is there is any other symptoms at present such as
difficulty in urination, burning , fever ?
4. I have reviewed last blood reports, but is there any ultrasound report of
latest date available ?

Awaiting for your response.
Regards.

Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Bhagyesh V. Patel (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (6 hours later)

Hello Doctor,
Thanks a lot for your prompt reply

1. Since how much time period, you have noticed the swelling at operative
site ?
>>>> Rajesh <<<< we are noticing the swelling for over 2 years and slowly getting bigger.
2. Do you notice any changes in swelling, particularly when he changes
posture, lie down or else ?
>>>> Rajesh <<<< It was a major surgery performed to remove the kidney and they have operated from the hip joint. My father is unable to Sit on the chair for more than 10 mins, unable to walk for more than 10 minutes and he is getting pain on the hip joint. While lying down, my father is feeling better.
3. Apart from pain, is there is any other symptoms at present such as
difficulty in urination, burning , fever ?
>>>> Rajesh <<<< Only getting pain,
4. I have reviewed last blood reports, but is there any ultrasound report of
latest date available ?
>>>> Rajesh <<<<< No, we have not taken the ultrasound yet. Last ultrasound was taken prior to the lockdown. (Mid Feb). please let me know if that would be of any benefit. I have requested my after to send me to the ultrasound results.

Thanks and Regards
Rajesh G

Follow up: Dr. Bhagyesh V. Patel (0 minute later)

Answered by Dr. Bhagyesh V. Patel (15 hours later)

Brief Answer:
follow up.

Detailed Answer:
Hi XXXXXXX
Thanks for the relevant details here.

* As there are no other symptoms apart from pain, issue sounds to be that of
soft tissue only.

* Even the Feb ultrasound report will also reveal many conclusions if available
please.

Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Bhagyesh V. Patel (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (35 minutes later)

Hello Doctor,
Thanks a lot
Sure, i have requested my Dad to send me the UltraSound report. I will send the Ultrasound report as soon as i receive it.

Thanks and Regards
Rajesh G

Follow up: Dr. Bhagyesh V. Patel (0 minute later)

Hello Doctor,
Thanks a lot
Sure, i have requested my Dad to send me the UltraSound report. I will send the Ultrasound report as soon as i receive it.

Thanks and Regards
Rajesh G

Answered by Dr. Bhagyesh V. Patel (1 minute later)

Brief Answer:
follow up.

Detailed Answer:
Ok
I will wait for the same.

Have a nice day.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Answered by Dr. Bhagyesh V. Patel (0 minute later)

Brief Answer:
follow up.

Detailed Answer:
Ok
I will wait for the same.

Have a nice day.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhagyesh V. Patel (28 hours later)

Hello Dr,

I have received the last Ultrasound report. Requesting you to please refer the attachment.

Thanks and Regards
Rajesh G

Follow up: Dr. Bhagyesh V. Patel (0 minute later)

Hello Dr,

I have received the last Ultrasound report. Requesting you to please refer the attachment.

Thanks and Regards
Rajesh G

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
follow up.

Detailed Answer:
Hi XXXXXXX
Welcome for the follow up, I have seen your father`s ultrasound report.

* The report is showing no internal abnormality so far as the operated
portion of right kidney is concerned.

Hence, there is no threat of any development of incisional hernia till date.
We can consider this as non specific fullness of muscle weakness and has to give symptomatic relief therapy in case of more pain episodes.

* I do not think of any further relevant investigations at present.

Wish him good health.
Regards.

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Bhagyesh V. Patel (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Bhagyesh V. Patel (24 hours later)

Brief Answer:
follow up.

Detailed Answer:
Hi XXXXXXX
Welcome for the follow up.

* Symptomatic relief does not need a hospital visit, and include

- local application of heating pad 5 minutes each twice a day
- local use of analgesic ointment or spray containing Diclofenac, Capsaicin,
Menthol with or without Camphor
- safest analgesic as per the age and conditions would be cetaaminophen or
paracetamol

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Bhagyesh V. Patel (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhagyesh V. Patel (11 minutes later)

Hello Doctor,
Thanks a lot for your help.

"give symptomatic relief therapy" should this therapy require a hospital visit or can it be done from home. Does it involve applying any cream / medicine that needs to be applied externally.

Thanks and Regards
Rajesh G

Follow up: Dr. Bhagyesh V. Patel (0 minute later)