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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pelvic Calcifications?

My recent CT scan showed I have multiple pelvic calcifications, which they write, most which are present are present phleboliths given lack of hydronephrosis. However, I have an extensive history of chronic kidney stones going back to age 15 yrs. old. I also have a too small to characterize low-density lesion within the left interpolar region. It does also state in report that nonobstruting distal ureteral stones are not entirely excluded. There is also, an anterior fundal fibroid measuring up to 7mm, and there is endometrial thickness of 3mm, and a nabothian cyst is noted. There are tiny bilateral ovarian cysts measuring up to 3mm on the right and 4mm on the left. there is also a left ovarian calcification measuring 3mm. I have spotting in the vagina also, and I have pain in the groin and back area accompanied with bloating. My stomach is huge with a small BMI. I am 58 yrs. old and I was diagnosed last yr. with Hyperparathyroidism disease. All four glands were abnormal, and three were removed. With all this stated, I also have type 2 diabetes but, I m not obese either. I have multiple medical issues they feel due to the Hyperparathyroidism disease including back, high blood pressure, cholesterol, etc. I d like to know if having a hysterectomy would be an appropriate solution to the gyn issues. My Gyn oncologist thinks so, given my history and my moms history in having to have one. My Gyn would like to also do a biopsy as well due to the spotting. I had a scraping of the vagina due to the thickening and bleeding last yr. as well as a biopsy. Unfortunately there was not enough tissue taken to get a result from the biopsy, and now the same problem is back. What s your opinion on the information I ve given you ? I know it s a lot but, I wanted you to have as much as possible.
Mon, 20 Jul 2020
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General Surgeon 's  Response
Hello,

As per my clinical experience, the multiple calcifications can be part of phleboliths as mentioned in the CT report or ureter, bladder calculi if co relative with the anatomical site and location of calcification. As there is history of parathyroid disorder and stones, it is best recommended to evaluate for the:
- Serum calcium (total and free ionized)
- Serum thyroid and parathyroid hormone levels
- Ultrasound of the abdomen and pelvis
- Intravenous pyelogram
- Serum creatinine and blood urea nitrogen levels

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Pelvic Calcifications?

Hello, As per my clinical experience, the multiple calcifications can be part of phleboliths as mentioned in the CT report or ureter, bladder calculi if co relative with the anatomical site and location of calcification. As there is history of parathyroid disorder and stones, it is best recommended to evaluate for the: - Serum calcium (total and free ionized) - Serum thyroid and parathyroid hormone levels - Ultrasound of the abdomen and pelvis - Intravenous pyelogram - Serum creatinine and blood urea nitrogen levels Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon