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Stomach pain, scan shows calyceal calculi and feature of pelvic inflammatory disease

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Gastroenterologist, Surgical
Practicing since : 1984
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Question
My wife is having stomach pain. She gets this pain regularly on the left hand top side of the stomach.
The pain is there for the last 2 weeks but not regularly. Scan report is added below and advise.

Scan Report :


LIVER      :      Normal in size, shape with smooth margins.
          Echotexture of the liver parenchyma is homogenous
          IVC and heptic Vein radicals are normal.
          Portal vein appears normal
          Intra and extrahptic biliary channgels are normal.
          CBD appears normal.

GALL BLADDER : Wall thickness appears normal
          No evidence of calculus / pericholecystic fluid collection

SPLEEN     :     Normal in size and echo texture.

PANCREAS :      Normal in contour and echo pattern.

KIDNEYS :     RK Measures 10.0 x 4.9 cms
          Normal in size, shape. Corticomedullary differentiation good
          Pelvicalyceal system / ureter are not dilated
          No evidence of calculus / mass lesion.
          LK Measures 9.9 x 4.8 cms
          Normal in size, shape. Corticomedullary differentiation good
          Pelvicalyceal system / ureter are not dilated
          No evidence of calculus / mass lesion.
          LK Measures 9.9 x 4.8 cms
          Left kidney shows a middle pole calculi measuring 5.-6 mm.

URINARY :     Normal in contour and shows uniform wall thickness

BLADDER :     There is no Calculus seen.

UTERUS :     AV Measures 8.1 x 2.9 x 4.6 cm. Endometrial thickness : 8mm
          Endometrial and myometrial echoes are normal

OVARIES :     Right ovary measures 3.0 x 2.3 cm.
          Left ovary measures 2.6 x 1.6 cm.
          Both ovaries show normal echo pattern

RETROPERITONEUM :       Aorta and IVC normal. No evidence of lymphadenopathy
Minimal free fluid in POD and Adnexa.
RIF : No evidence of bowel wall thickening / mass / fluid collection.

IMPRESSION :
     Left renal calyceal calculi.
     Feature of pelvic inflammatory disease.     
Posted Mon, 21 May 2012 in Abdominal Pain
 
 
Answered by Dr. Ajit Naniksingh Kukreja 3 hours later
Hi

Thanks for posting your query

Though the information provided is not conclusive, I can understand from the Scan report that she is suffering from a Left Renal Calculi

The pain of renal calculi is usually colicky in nature and associated with burning or painful urination, occasionally blood in urine and nausea

Considering the size of the calculi, there are all chances it may come out , what she needs to take is lot of fluids orally and Antispasmodic for pain

Hope this helps
Am available for any followup queries
If there are no further doubts, do accept my reply and rate it

Wishing Your Wife A Speedy Recovery
Above answer was peer-reviewed by
 
Follow-up: Stomach pain, scan shows calyceal calculi and feature of pelvic inflammatory disease 44 minutes later
Thanks for your reply.

I would like to know more on "Feature of pelvic inflammatory disease". What is this disease and what precaution to take?
 
 
Answered by Dr. Ajit Naniksingh Kukreja 21 minutes later
Hi

Thanks for posting your followup query

Pelvic Inflammatory Disease is stamped because there is free fluid seen on scan

This is commonly seen in females and is because of lack of hygiene

Patient needs to care for cleanliness and take a ten day treatment of Doxycycline

Vaginal doughing and hygiene are main stay

Hope this helps
Am available for any followup queries
If there are no further doubts, do accept my reply and rate it

Wishing Your wife A Speedy Recovery
Above answer was peer-reviewed by
 
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