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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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CAT Scan States Cystic Mass In Adnexa. Addison Disease, Hysterectomy Done, Chiari Malformation And Bowel Obstruction. Should Consult ER?

Im 39 yr old white female with a history of addison disease. I had a supercervical hysterectomy at 29. I also have chiari malformation with syrinx from c1 to tailbone. I had a bowel obstruction in 2007 and a bowel perforation in 2009. I had a cat scan on 10/31/13 that states 4.2 cystic mass in right adenxa. Moderate retained fecal material seen. Also biliary dilation present. Wanting to know if I should go to er. I am having a lot of discomfort. Any advice? Please
Fri, 8 Nov 2013
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General Surgeon,  's  Response
Hi ! Good evening. I am Dr Shareef answering your query.

If I were your family physician, with your history of repeated abdominal surgeries in the past, I would definitely suggest you to go to the ER for your feeling of discomfort, which could be due to a possible sub acute intestinal obstruction. The adnexal cyst also requires furhter investigation/biopsy. The exact position can only be ascertained with your clinical examination by the treating doctor, who can decide on further intervention.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic for clearing doubts on your health problems. Wishing you an early recovery. Dr Shareef.

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CAT Scan States Cystic Mass In Adnexa. Addison Disease, Hysterectomy Done, Chiari Malformation And Bowel Obstruction. Should Consult ER?

Hi ! Good evening. I am Dr Shareef answering your query. If I were your family physician, with your history of repeated abdominal surgeries in the past, I would definitely suggest you to go to the ER for your feeling of discomfort, which could be due to a possible sub acute intestinal obstruction. The adnexal cyst also requires furhter investigation/biopsy. The exact position can only be ascertained with your clinical examination by the treating doctor, who can decide on further intervention. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic for clearing doubts on your health problems. Wishing you an early recovery. Dr Shareef.