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CT Scan Post Hysterectomy CT Scan Post Hysterectomy

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Unread 10-02-2004, 09:03 AM
CT Scan Post Hysterectomy

Wondering if anyone else has undergone CT Scan (Pelvic/Abdominal) after their Hysterectomy? For what symptoms?

I am having one this week and don't know quite what to expect.

This is a result of ongoing leakage (had 2 surgeries to eliminate possible fistula or ureteral damage) and severe pelvic and low back pain on one side, with ongoing nausea and vomiting. Possible collection.

Seen moderate amount of fluid on Ultrasound. Had severe leakage and fluid was mysteriously absent upon next surgery. Suspicious area in one corner of the vault that surgeon considered entering in surgery but was so sure that my symptoms would be urinary related and otherwise explained. Now looking back and taking a new/fresh look at things. It seems that in all the "fistula" talk things of significance were missed. Now considering entering the area in surgery, but risk of bleeding a concern. One side of my vault it full and enlarged, the angle looks vascular and perhaps retaining fluid?

CT could give us the definitive answers we have been searching for for months. Even without though surgeon is considering surgery as an option. We have ultrasound confirmation and direct visualization photos from Laparoscopy to go on at this point, and of course my symptoms. I am holding onto hope that this could be the resolution that I have prayed for.

I would love to hear from anyone else who may have had a CT to diagnose hematoma (had in early recovery), seroma, or "collection" of some kind. Lymphatic drainage is another possibility?

Even would like to know how the CT was done? What it was like?
IV contrast used?


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Unread 10-02-2004, 09:15 AM
CT Scan Post Hysterectomy

I had my TAH on May 7th. I had bad abdominal pain from week 1-4, and couldn't have a bm without using laxatives. My gyn sent me for a cat scan with contrast. I had to drink a barium drink the night before and morning of my scan. They inject a fluid in you by using a butterfly thing in your arm. They take it out as soon as they finish injecting the contrast. The test doesn't hurt at all. You lay on a table that slides through a very short donut shaped ring. This takes the piuctures. They will have you breath in and hold your breath when they are taking the picture. It only takes about 10 minutes to complete. After the test you are free to go.
My gyn got the results the next afternoon. I had a bowel impaction, but everything else looked ok. No bowel obstruction(adhesions sealing off the bowel).
I was having alot of gurgling and abdominal pain again a couple months later, so my gyn sent me for another cat scan. Same procedure. He thought I had adhesions for sure, but none showed up. It did show a small amt. of pelvic fluid from a possible cyst rupturing. This is a normal process every month. I was sent to a pain specialist. He said adhesions do not show up on cat scans or x rays anyway. My gallbladder ended up being the problem, along with scar tissue from my 5 abdominal surgeries.
Don't be scared of having the test. It doesn't hurt one bit. The worst part is drinking the barium.It showed my pelvic fluid, so I am sure it will show what is going on with you.
I wish you lots of luck.

Unread 10-02-2004, 09:20 AM
CT Scan Post Hysterectomy

Hi - I had one a couple of weeks ago, but they were looking more at my kidneys, but it was an abdominal CT scan.
I had to drink something that tasted like warm cranberry juice that provided some contrast, then they did do an IV. The IV doesn't hurt, but makes you feel very warm, and I felt like I was leaking urine, but it was just the extreme warmth in the bladder. You have to lay very still, and hold your breath frequently, but the person who does it will guide you along.

There is no claustrophobia with this test - the machine looks like a big doughnut.

Hope this helps, and good luck!

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Unread 10-02-2004, 10:26 AM
I had a CT too

I had a CT 2 weeks post-op because having a bowel movement was excruciating! My dr. wanted to make sure I didn't have a hematoma. The barium is not bad, a berry flavored shake-type drink. I did completely swell up from the barium and felt like I was going to explode and throw up at the same time. When I got to the appt. I got the runs but they told me that was normal. I was just worried about laying on the table with the IV inserted in case I had to go to the bathroom again. Anyway, I made it and I think the barium cleaned me out because after that I felt much better. No hematoma. I still take stool softeners everyday and I'm 3 1/2 weeks post-op now - don't want to feel that pain again. Hope all goes well with you. Don't stress about the CT, it's a piece of cake. Have a nice weekend.
Unread 10-02-2004, 10:41 AM
CT Scan Post Hysterectomy

I have to get a ct scan Monday due to pain on the left side of my incision.
They gave me two bottles of barium, one to drink 4hrs. before scan appt. the other to drink 1 hr. before. I have them in the refrigerator. I was told it was a quick abdominal pelvic scan and not closed in as the MRI machine is.
Unread 10-02-2004, 11:48 AM
to cathy1

Your upper body will remain outside of the CT. They put a wedge under my knees and my arms had to be over my head. Pretty easy. I just needed some help laying down and getting up since the table is a little low. Since my belly was still so sore I had to ask them to go easy with putting the wedge under my knees and removing it too.
Unread 10-02-2004, 11:54 AM
Thank You

Thank you for your kind replies.

I was wondering about my CT because I have some different pre-test instructions that just don't seem to match up...I guess I will have an element of surprise. That's OK as long as the test itself doesn't show any surprises. I just so want to be better and if this helps I will do whatever it takes! I just keep thinking I can't give up.

My instructions for the mid afternoon test were:
no dairy after 11:00 o'clock
may have breakfast
I am to drink 1L of water but may void
Arrive half hour early
No further instructions

~Perhaps these instructions are because they are looking at the vaginal vault for seroma or something and not necessariliy the abdomen per say. I am not sure. I think I may have IV contrast though.

The first CT they say is 3 dimensions of pelvis
The second is a reformating scan? Don't know what that is?
(about 1/2 hour after the first CT)

Thanks a ton.

Unread 10-02-2004, 12:43 PM

Hi! Blessings.I had ct on my abdomin and pelvic.They also did one just like mtdewpeg.They thought it was my gallbladder .Did the ct and seen nothing they were looking for gall stones then did another test cant remember the name .They found it was my gallbladder it was not leaking like it should bad gallbladder they did surgery removed it last November .If you have phobia close your eyes when in the donut shape thing.It does not hurt some times being in something close to you might make someone nervouse I know it does me.I just close my eyes.You do get warm feeling over ya.Just remember stay still and it will be almost over with.

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