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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Having Undergone Hysterectomy Be The Cause Of Lower Abdominal Pain?

Hello. I'm a 47 year old female. I've had severla lower abdomen surgery's ultimately a total Hysterectomy 8 years ago. I've been having lower abdominal pain into my groin. Also lower backache, frequent urination (no pain while urinating). I went to th ER 6 day's ago. The ER Doctor said that she believed that it could be Diverticulitis. I've been taking 2 types of Antibiotics and pain medication. It had not gotton any better.

When I had my Hysterectomy they found that I had Endometriosis and a lot of scar tissue. Could the endometriosis return? Or could the pain be caused by more scar tissue? Please help....I'm in agony!!!
Mon, 29 Dec 2014
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.

With the history of scar inside the abdomen and endometriosis, hysterectomy done already and now you have pain in abdomen, the cause may be either of the two.
Diverticultitis would gave been diagnosed earlier at previous surgery.

I would advise you to undergo the following investigations.
Routine investigations of the blood, urine and stool.
Contrast enhanced CT scan of the abdomen.
If required exploratory laparotomy for diagnosis and treatment of the causative factors as found on CT scan or on exploration.
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Can Having Undergone Hysterectomy Be The Cause Of Lower Abdominal Pain?

Hi. Thanks for your query and an elucidate history. With the history of scar inside the abdomen and endometriosis, hysterectomy done already and now you have pain in abdomen, the cause may be either of the two. Diverticultitis would gave been diagnosed earlier at previous surgery. I would advise you to undergo the following investigations. Routine investigations of the blood, urine and stool. Contrast enhanced CT scan of the abdomen. If required exploratory laparotomy for diagnosis and treatment of the causative factors as found on CT scan or on exploration.