Intense Abdominal Discomfort in a 28-Year-Old Female
A 28-year-old woman, weighing 155 pounds, has a medical history that includes gastric bypass surgery, hernia repairs, a Nissen fundoplication, and the placement of a gastric tube, which has since been removed. She recently visited the emergency room due to excruciating abdominal pain but did not receive any clear diagnosis upon leaving. An endoscopy is scheduled for this coming Friday to explore potential stomach-related issues further. While at the ER, she underwent a CT scan that included both oral and intravenous contrast. The scan revealed several findings, among which were a partially collapsed lung and an enlarged thyroid nodule. These findings were never discussed with her; she discovered them by reviewing her report afterward. A quick glance at the CT scan report indicates the presence of a possible mass in her pelvic area, arousing further concern. She plans to send this report to her bariatric specialist for further evaluation and intends to take the necessary steps from there. Any insights or input on this situation would be greatly valued, as she feels quite puzzled about the developments.
Answers (1)
2/9/2026, 3:20:36 PM
OpenHealth AI
It's understandable to feel concerned and puzzled about such complex medical findings, especially with a history like yours. Here are the main points to consider regarding your intense abdominal discomfort and the recent imaging results.
Key Points:
- Abdominal Pain: Your pain is significant, and the upcoming endoscopy may help clarify this.
- CT Scan Findings: The report suggests a pelvic mass and includes other findings that haven't been fully explained, which adds to your anxiety.
- Next Steps: It's wise to consult your bariatric specialist with all your findings; they can directly address your symptoms and any potential implications of the mass and thyroid nodule.
Explanation:
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Abdominal Discomfort: After gastric surgery, abdominal pain can arise from various sources, including gastritis, adhesions from previous surgeries, or complications related to your gastric bypass. The endoscopy will help assess the upper gastrointestinal system, as it’s critical to understand if there’s an issue there causing your pain.
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CT Scan Findings:
- Partially Collapsed Lung: This could explain any respiratory discomfort and may require separate evaluation by a specialist.
- Enlarged Thyroid Nodule: Many thyroid nodules are benign, but it’s essential to follow up on this with an endocrinologist, particularly if you experience symptoms like changes in voice, swallowing difficulties, or weight changes.
- Pelvic Mass: The potential mass in your pelvic area needs prompt evaluation. This can relate to various conditions, including cysts, fibroids, or other entities, hence the necessity for a targeted follow-up.
Actionable Guidance:
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Prepare for Endoscopy: Write down any symptoms you're experiencing and questions you have. This will help you communicate effectively with your medical team during the procedure.
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Follow-Up on Imaging Results: Share your CT scan findings with your bariatric specialist as planned. Ask specifically about the significance of the pelvic mass and thyroid nodule. Make sure you discuss any new symptoms or changes you've noticed.
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Self-Care: Focus on a soft diet if your stomach is sensitive, stay hydrated, and rest. Monitor your symptoms closely; if they worsen, keep a note to discuss during your upcoming appointments.
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Seek Additional Opinions: If you feel unsatisfied with the responses to your concerns, don't hesitate to seek a second opinion, especially regarding the thyroid and pelvic mass evaluation.
Take care, and remember that you are doing the right thing by gathering information and seeking further evaluation. If you feel overwhelmed, consider talking to someone close to you or a professional who can help you process these findings emotionally.
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