Seeking Insight on CT Scan Findings for a 33-Year-Old Woman
A 33-year-old woman weighs 196.4 pounds and stands 5 feet 5 inches tall. She is currently on a medication regimen that includes Omeprazole, Celebrex, along with a multivitamin (ADEK) and calcium supplement (Citrical Max), in addition to separate vitamin E, K, and D, all of which are aimed at addressing malabsorption issues stemming from her previous duodenal switch (DS) surgery. Recently, she experienced severe lower abdominal pain that began three days prior to her visit to the emergency room (ER). Initially, there was a suspicion of appendicitis. Alongside the pain, she has been feeling nauseous—likely due to the discomfort—and she has not had a bowel movement or passed gas in over 48 hours. After evaluation, she was released from the ER with a diagnosis of a stomach bug. However, she believes her condition may be more serious. While the laboratory results appeared normal according to the ER team, they have not yet been updated in her MyChart account for her to review. Her surgical history includes a duodenal switch with gallbladder removal, as well as separate laparoscopic surgeries for hysterectomy and left ovary removal. **CT Scan Findings:** The results indicate a slight presence of atelectasis at the bases of the lungs, while the gallbladder is absent due to surgery. The adrenal glands, liver, kidneys, spleen, and pancreas all show a normal appearance after contrast enhancement. The scan shows evidence of a previous partial gastrectomy without any lymphadenopathy in the abdomen or pelvis. The appendix appears normal. The large bowel does not show any significant issues, although a few loops of small bowel located in the pelvis are mildly dilated and contain fluid, with the small bowel both above and below this area appearing normal. No signs of free air or fluid were detected within the peritoneal cavity. Additionally, there is minimal degenerative osteoarthrosis present in both hips and multilevel facet arthropathy in the lumbar region. The uterus is absent post-surgery, and while the right ovary is present, the left ovary could not be clearly identified.
Answers (1)
2/4/2026, 10:50:34 PM
OpenHealth AI
The CT scan findings you described show a mix of results, some of which need to be addressed, especially given your recent symptoms of severe abdominal pain, nausea, and lack of bowel movement.
Key Points:
- The CT scan indicates minor issues, such as likely dilated loops of the small intestine which may suggest an obstruction or a functional issue given your history of surgery and current symptoms.
- Normal findings in other organs and a normal appendix are reassuring but do not fully address your abdominal pain and nausea.
Explanation:
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Atelectasis at the lung bases could relate to shallow breathing, often due to pain. It’s less concerning but highlights the need for management of your pain.
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Small bowel dilation can be concerning, especially in the context of your symptoms. This may indicate an issue with bowel function, such as a blockage or the effects of past surgeries that can create adhesions or motility issues.
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Normal findings in other organs suggest no acute issues in the liver, kidneys, spleen, or pancreas, which is a positive outcome.
Next Steps:
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Hydration and Nutrients: Focus on staying well-hydrated, especially if you're experiencing nausea. Consider clear fluids or electrolyte solutions. Avoid solid foods until your symptoms improve.
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Monitor Symptoms: Keep track of any changes in your symptoms, including the severity of pain, frequency of nausea, any bowel movement, or passing gas. This information will be useful for healthcare professionals if further evaluation is needed.
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Gradual Movements: Engage in gentle movement or positions that can help ease abdominal discomfort. Sometimes walking or certain orientations can assist in bowel function.
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Avoid Irritants: Make sure to avoid foods and drinks that can exacerbate nausea, like spicy foods or caffeine.
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Follow-Up: Since you feel concerned about the possible seriousness of your condition, seek a follow-up with a healthcare provider if symptoms worsen, if you continue to be unable to pass gas or have bowel movements, or if new symptoms arise.
If pain significantly increases, or if you experience severe symptoms like fever or significant abdominal tenderness, it may warrant more urgent medical attention. Remember, you know your body best, so continue to advocate for your health.
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