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Doctor insights on: Adhesion Of Liver And Abdominal Wall

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Dense adhesions between the abdominal wall and gallbladder. US; distal dilation of CBD 7.7mm, no stones. 52, female, what does this mean for me?

Dense adhesions between the abdominal wall and gallbladder. US; distal dilation of CBD 7.7mm, no stones. 52, female, what does this mean for me?

Need more info: If you were having abdominal pain prompting the ultrasound, it could be "sludge" obstructing the common bile duct. This may not be seen as a stone on the ultrasound but may cause the same type of blockage. You need an MRCP (MRI of the biliary tree) to evaluate the common bile duct. If this shows a blockage you will need ERCP (a procedure done by a gastroenterologist) to clear the stones or sludge ...Read more

Dr. Gary Pess
2 Doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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52, perimenopause, gyn laproscopy identified dense adhesions between gallbladder and abdomen wall. Do I have to remove gallbladder? Occas. Rib pain.

52, perimenopause, gyn laproscopy identified dense adhesions between gallbladder and abdomen wall. Do I have to remove gallbladder? Occas. Rib pain.

Need to investigate: I would consider having your gallbladder evaluated with a good history by a physician and consider an ultrasound and HIDA Scan with ejection fraction, if you have a history suggestive if gallbladder disease. ...Read more

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Which parts of my body can adhesions affect, or do they mainly center in the abdomen?

Which parts of my body can adhesions affect, or do they mainly center in the abdomen?

Usually abd/pelvis: Adhesions can occur in other locations, but the most common occur in the abdomen and pelvis. ...Read more

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Burning in abdomen and vaginal bleeding a week after adhesions removed?

Burning in abdomen and vaginal bleeding a week after adhesions removed?

Could be a problem: I assume you have already contacted the doctor who did your surgery so you should ahve already been evaluated, as you should have had an exam and blood work or radiology scans if indicated. ...Read more

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Abdomen pain and heavyness very frequently. The recent scan report found that, subacute intestinal obstruction due to postoperative adhesions?

Abdomen pain and heavyness very frequently. The recent scan report found that, subacute intestinal obstruction due to postoperative adhesions?

Be mindful: Surgical adhesions are not infrequent, and can lead to small bowel obstruction. Many cases resolve without surgical intervention, which is good! The more surgeries you undergo the more you develop new scar tissue. If you have severe abdominal pain, nausea, vomiting and suddenly are no longer passing gas or bms, to er. If not, small but more frequent meals, high fiber, lots of fluids. ...Read more

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Adhesions surgery due to painmy abdomen has distended horribly, discfort, mild pain, constipation, nausea, cramps, and adhesions post-surgery yrs ago.

Adhesions surgery due to painmy abdomen has distended horribly, discfort, mild pain, constipation, nausea, cramps, and adhesions post-surgery yrs ago.

I would consider: Treating constipation with miralax, (polyethylene glycol) two times per day if needed, or mag citrate. Unless you have bowel obstruction, few will be excited to take you to surgery. It may or may not be adhesions but I would guess you had pain with surgery for adhesions. Sometimes there is pain and adhesions but adhesions incidental finding. Consider getting seen, it may be time for colonoscopy, gyn exam good luck. ...Read more

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Ct-left lower abdomen hazy vague increased attenuation in mesentery lateral to loops of small bowel. Could this be adhesions from surgery year ago or what could it mean?

Ct-left lower abdomen hazy vague increased attenuation in mesentery lateral to loops of small bowel. Could this be adhesions from surgery year ago or what could it mean?

Yes: Minor complications 1 year post surgery are not uncommon. This is due to the development of adhesions in the small bowel mesentery following surgery. The adhesions causing intermittent slight twisting in small bowel depending on response to diet can and do cause symptoms that you are now experiencing. ...Read more

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Pain in r upper abdomen a few days ago now pain in r lower abdomen history of ovarian cysts endometriosis fibroids and adhesions. When do I go to ER?

Pain in r upper abdomen a few days ago now pain in r lower abdomen history of ovarian cysts endometriosis fibroids and adhesions. When do I go to ER?

Pain tolerance?: Every person has a different pain tolerance before acting, however, if the pain prevents you from walking, talking, laughing or breathing then a E.R. Visit would be appropriate. It would be a good idea to see a md for those symptoms long before a E.R. Visit is necessary as diagnostic testing can be done more cheaply on an outpatient basis. ...Read more

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GB like symptoms. US-distal dilation of CBD 7.7mm. MRCP-mild prominence of pancreatic duct. Dense adhesions between GB & abdominal wall. Pls. Interprete?

Need context...: ...for which your test was ordered. Also, your question is ideally & confidentially answered in the Concierge forum of HealthTap--would suggest you consider that route to your query. ...Read more

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Opening on abdominal wall for colostomy, what happens?

Opening on abdominal wall for colostomy, what happens?

Usually nothing: The opening on the abdominal wall is small and just large enough for the colostomy to fit. The edges of the colostomy are then tacked down to the surrounding skin to seal the area. Rarely does anything go wrong. Occassionally there might be a paracolostomy hernia that then needs repair or a prolapse or dropping out of the colostomy itself that needs to be fixed. ...Read more

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Why would someone need an abdominal X-ray and an "echo of the back abdominal wall'?

Why would someone need an abdominal X-ray and an "echo of the back abdominal wall'?

Abdominal symptoms: The tests of abdominal xray and "echo" of the back of the abdominal wall (probably abdominal ultrasound) are typically used to evaluate abdominal symptoms or concerns. The xray can provide information on the status of bowel distension, presence of stones, etc, and the abdominal ultrasound can provide info on kidney, liver, gallbladder, pelvic organs, etc. ...Read more

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I coughed so hard I tore my abdominal wall and caused a hematoma. Two weeks later and still in a lot of pain. How long till pain goes away...

I coughed so hard I tore my abdominal wall and caused a hematoma. Two weeks later and still in a lot of pain. How long till pain goes away...

Strain: Severe strain with tearing of muscle fibers may take a little longer to heal. Rib fractures can also occur with hard coughing. At this time I would try intermittent heat to the area which may help the healing process. Hold onto the injured area if you must cough or sneeze and avoid other strain as well. ...Read more

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What's the medical term for a weak abdominal wall?

What's the medical term for a weak abdominal wall?

Diastasis recti: Diastasis recti (also known as abdominal separation) is a disorder defined as a separation of the rectus abdominis muscle into right and left halves. Normally, the two sides of the muscle are joined at the linea alba at the body midline. It is essentially a cosmetic condition, with no associated morbidity or mortality. ...Read more

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Are there exercises which strengthens the abdominal wall and which can help against developing a hernia in first place?

Are there exercises which strengthens the abdominal wall and which can help against developing a hernia in first place?

No: Many people with strong abdominal muscles get hernias, and many people with weaker muscles don't have hernias. There is most likely a genetic predisposition to hernia formation based on the types of connective tissue that any given individual has. Keep exercising though, its great for lots of other things! ...Read more

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What causes a periumbilical ventral abdominal wall hernia?

What causes a periumbilical ventral abdominal wall hernia?

Opening in muscle: You may have a weakness where your umbilical cord went thru. Or it can be from a surgery that left a weakness there. ...Read more

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How does wearing an abdominal binder help resolve a seroma and a weak spot in the abdominal wall?

How does wearing an abdominal binder help resolve a seroma and a weak spot in the abdominal wall?

Resolve with time: Most of the seromas due to surgery especially after incisional hernias repaired with mesh will resolve with or with out abdominal binder binders make some comfortable in others will inter fear with breathing. ...Read more

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What one expert should we see if they suspect abdominal wall defect in our fetus?

What one expert should we see if they suspect abdominal wall defect in our fetus?

Perinatologist: First start with a perinatologist (maternal-fetal medicine specialist). They'll screen the infant for other birth defects and/or chromosomal problems. Depending on what they find, they'll coordinate delivery with a pediatric surgeon if needed & a neonatologist. But first start with a good mfm specialist. Best wishes to you. ...Read more

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I have been having a sharp pain in the lower right side of my abdomin. I was told that I might have abdominal wall pain. What exactlly is this?

I have been having a sharp pain in the lower right side of my abdomin. I was told that I might have abdominal wall pain. What exactlly is this?

Muscular Pain: The abdominal wall consists of multiple muscle layers. Like anywhere on the body, a pulled muscle can cause significant, lingering pain. Since we use our core muscles for most activities, it can be difficult to rest these muscles. Pain from the abdominal wall can be difficult to distinguish from "internal" abdominal organ pain; muscular pain tends to be unrelated to food & worsened by activity. ...Read more

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How do u know if hematoma needs to be drained? Just got diagnosed with golf ball size postprocedural hematoma of abdominal wall. Causing pain

How do u know if hematoma needs to be drained? Just got diagnosed with golf ball size postprocedural hematoma of abdominal wall. Causing pain

Certain situations: Reasons to drain a hematoma might include enlarging size that suggests ongoing bleeding, infection, compression of adjacent structures, or external bleeding. If none of these are present, the hematoma will get reabsorbed over time on its own. Speak with your surgeon if you are concerned about it. ...Read more

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Is loosing weight initially associated with early symptom of ingenuial hernia? When abdominal wall weakens does blood test show anything?

Is loosing weight initially associated with early symptom of ingenuial hernia? When abdominal wall weakens does blood test show anything?

Hernias: Hernias can protrude with weight loss. The fat that was plugging the opening may shrink and allow fat or abdominal organs to protrude. You should start with a physical exam to see if your hernia can be felt. A general surgeon or general internist can examine you. If it is small, an ultrasound or ct scan can image the hernia. Blood tests will not help. ...Read more

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When I do a crunch my abdominal wall axis protrudes up like a pup tent. Is this a lateral hernia or a diastis recti? No protruding lumps when relaxed.

Diastasis: Is likely from what you describe, if what you are seeing is located in the upper middle of the abdominal wall. Diastasis can be quite common ; nothing of concern. See your doctor if it is uncomfortable or bothersome to you to be sure it is nothing else. ...Read more

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Latest abdominal ultrasound reveals well distended gallbladder, fatty liver, mild gallbladder wall thickening. But lft normal. No pain. What can this mean?

Latest abdominal ultrasound reveals well distended gallbladder, fatty liver, mild gallbladder wall thickening. But lft normal. No pain. What can this mean?

Why did you get US?: If lfts are normal, and no pain, why get us?

Fatty liver means more fat stored in liver than normal, usually due to metabolic reasons - overweight, diabetes, alcohol overuse/abuse.

Gallbladder wall thickening is a weak sign of gallbladder disease in people with pain or tenderness - in this case it probably means the gallbladder could distend even more than it was. ...Read more

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Had 4 hernias repaired n mesh. New CT had anterior abdominal wall hernia. Pain my r. Side of naval by mesh. Do I need it fixed, yes hurts off n on.

Had 4 hernias repaired n mesh. New CT had anterior abdominal wall hernia. Pain my r. Side of naval by mesh. Do I need it fixed, yes hurts off n on.

Increased risk: Abdominal wall hernias are repaired to prevent bowel from becoming stuck (incarcerated) in the hernia. Blood flow can become compromised, intestinal blockages and pain also occur. Larger hernias are safer then smaller ones. Each time a hernia is repaired the chance of success goes down. Weigh loss, smoking cessation, exercise, and good nutrition can improve your outcome. You have to weigh options ...Read more

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Abdomen usg says: fatty liver, mild splenomegaly, diffuse bowel wall thickening at right illiac region. Possibility of distal iletis. Is it serious?

Abdomen usg says: fatty liver, mild splenomegaly, diffuse bowel wall thickening at right illiac region. Possibility of distal iletis. Is it serious?

Does not: Sound good. Hard to say how serious without more information. Could be from an infection of some site that is treatable, but you should not have any of these issues especially so young. ...Read more

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I have FAP and 2 intra abdominal wall Desmoid tumours, I had a ct scan which shows some white spots, what could they be?

Possible mets.: Patients with familial adenomatous polyps due to APC mutation gradually develop hundreds colorectal polyps. These may bleed, leading to blood in the stool. Should malignancy develops, this may present with altered bowel habit, or even metastasis to the liver or elsewhere. When the polyposis is associated with osteomas, fibromas, desmoids the condition is termed Gardner's syndrome. ...Read more

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Risk of knot on abdomen from a fall. Contusion of abdominal wall 4 weeks ago?

Hernia: I guess it could be a hernia. Have you considered this? Consider seeing a physician for a physical exam. ...Read more

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My sister has fluid on her lungs, she has cancer in her abdomen wall and has spread to her nodules. How long to live?

My sister has fluid on her lungs, she has cancer in her abdomen wall and has spread to her nodules. How long to live?

Life span: There is no one but God that knows the number of days we each have but you are describing someone with a terminal disease process. I would advise your sister to get her affairs in order. There is no way to know exact how long she will live. Best of luck to you and your sister. ...Read more

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Pain which started on lower left abdomen when coughing. Moved to basically the whole lower abdominal wall when coughing. Feel extremely tired with sob?

Pain which started on lower left abdomen when coughing. Moved to basically the whole lower abdominal wall when coughing. Feel extremely tired with sob?

Nonspecific: There is no specific diagnosis with lower abdominal pain. Best to see your primary care provider if you're worried, pain is severe, or is unrelenting. Hope this helps! ...Read more

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How can doctor tell if ur missing a wall in ur abdomen?

I don't quite: Understand your question because I don't know what you mean by wall. But ct scans are very accurate in delineating anatomical defects. So if physical examination is inconclusive, ct scan will usually show all anatomical defects. ...Read more

Dr. Mark Aranson
307 Doctors shared insights

Adhesions (Definition)

Adhesions are scar tissue which can form after any abdominal surgery. The severity depends on whether infection/inflammation was present at the time of surgery. Adhesions are like bands or spider webs that form around the abdominal organs/intestines. Sometimes adhesions are light and cause no problems, sometimes tremendous problems, like crazy glue in the abdomen. Can ...Read more