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Suggest Treatment For Pain In Abdomen
Posted on
Tue, 21 Oct 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 21 Oct 2014
Answered on
Fri, 14 Nov 2014
Last reviewed on
Question : My daughter had pain lower right abdomen one month ago, we thought it was apendicitis ( it wasnt) , at that time did ultrasound, report said both ovaries fine, but free fluid cul de sac left side .
One month later pain but this time in the left side of lower abdomen. did ultrasound, radiologist not sure between teratoma or cyst hemorrage. right ovary fine, but left ovarieincreased in size ( 4.93 x 4.17 x 5.29 cm , volumen of 56.8 cmc, there is a mass heterogenous with liquid in its interior that constitute 70% of the lesión, without vascularization, this mass size 4.07x3.61x3.55 cm and volumen of 27.5cmc, there exsits para-ovaric liquid. no adenopaties. no calcifications, negative doppler
One month later pain but this time in the left side of lower abdomen. did ultrasound, radiologist not sure between teratoma or cyst hemorrage. right ovary fine, but left ovarieincreased in size ( 4.93 x 4.17 x 5.29 cm , volumen of 56.8 cmc, there is a mass heterogenous with liquid in its interior that constitute 70% of the lesión, without vascularization, this mass size 4.07x3.61x3.55 cm and volumen of 27.5cmc, there exsits para-ovaric liquid. no adenopaties. no calcifications, negative doppler
Brief Answer:
surgical removal required
Detailed Answer:
Hello, I understand your concern about this issue.
After reading the report as stated by you it looks like an endometrioma which is an ovarian cyst with chocolate colored material inside.
It needs to be removed surgically and in case not removed there are high chances of increase in size and repeated episodes of acute pain abdomen.
So just consult a laparoscopic surgeon at the earliest and get it removed.
In case you have any questions I will be happy to help.
surgical removal required
Detailed Answer:
Hello, I understand your concern about this issue.
After reading the report as stated by you it looks like an endometrioma which is an ovarian cyst with chocolate colored material inside.
It needs to be removed surgically and in case not removed there are high chances of increase in size and repeated episodes of acute pain abdomen.
So just consult a laparoscopic surgeon at the earliest and get it removed.
In case you have any questions I will be happy to help.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
You dont think this could be a malignanta tumor?
Brief Answer:
negligible chances
Detailed Answer:
It is uncommon to have a cystic tumor at her age.
But in any case she needs to get it surgically removed and the tissue will be sent for histological analysis.
So don't keep negative thoughts and opt for laparoscopic removal.
All the best.
negligible chances
Detailed Answer:
It is uncommon to have a cystic tumor at her age.
But in any case she needs to get it surgically removed and the tissue will be sent for histological analysis.
So don't keep negative thoughts and opt for laparoscopic removal.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
With the removal laparascopically, is there a chance of damaging her ovarie, and hurt the chances of future pregnancy?
Brief Answer:
slightly decreased chances of pregnancy
Detailed Answer:
Yes the affected ovary can get damaged and thus decreasing chances of pregnancy a little in future.
But it is tried by every surgeon to try to save as much ovarian tissue as much as possible.
Still it is still not a matter of much concern as the leftover normal ovary tries to compensate for the lost ovarian tissue in surgery.
So let's hope for the best and its good that at least other ovary is normal.
Take care.
slightly decreased chances of pregnancy
Detailed Answer:
Yes the affected ovary can get damaged and thus decreasing chances of pregnancy a little in future.
But it is tried by every surgeon to try to save as much ovarian tissue as much as possible.
Still it is still not a matter of much concern as the leftover normal ovary tries to compensate for the lost ovarian tissue in surgery.
So let's hope for the best and its good that at least other ovary is normal.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
So she can still get pregnant with just ine ovary normal?
Brief Answer:
good chances
Detailed Answer:
Yes there are good chances of pregnancy even with a single working ovary.
So not much to worry about that issue.
good chances
Detailed Answer:
Yes there are good chances of pregnancy even with a single working ovary.
So not much to worry about that issue.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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