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Right lower side abdominal pain, small cyst in right ovary, nausea. Had hysterectomy 3 years back. Treatment?

Hi, I have right lower side abdominal pain which goes all the way to my lower back. Saw a GP 2 weeks ago and did a sonar which showed a small cyst my right ovary. I finished my antibiotics and the pain comes and goes. I'm nauseous in the mornings and late at night. Oh, I had hysterectomy 3yrs back. What could be the problem?
Asked On : Sat, 27 Apr 2013
Answers:  2 Views:  38
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General Surgeon 's  Response
Right sided lower abdominal pain can be due to Appendicitis,Right sided kidney stone,Right ovarian cyst etc.
But, a 2cms cyst will not cause such pain.
As kidney stones are ruled out on scan,it can be Appendicitis.Unless appendix is grossly enlarged,it cannot be seen in ultrasound scan.
Sometimes,after surgery there will be adhesions and it may cause pain intermittently.If there is distension of abdomen,vomiting and constipation,surgery should be done.
Get a CT scan abdomen for correct diagnosis.My first possibility is Appendicitis
Wish you good health
Answered: Sat, 27 Apr 2013
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General Surgeon Dr. M Y Shareef's  Response
Hi ! Was your appendix removed during the hysterectomy or not ? If not, a mild attack of recurrent appendicitis cannot be ruled out which can be diagnosed clinically only by examination by the treating doctor during the pain.
It could also be due to a small ureteric stone with hydronephrosis due to back pressure and can be diagnosed by a repeat ultrasound with special reference made to the KUB.
Next possibility can be some adhesions in the bowel and the scar.
A small cyst in the right ovary could only be an incidental finding or the ovary might be getting twisted intermittently along with the cyst.
One can go for a CECT after showing it to the treating gynaecologist/surgeon, and if it is troubling more, then a diagnostic laparoscopy is an option.
Wishing you an early recovery.
Answered: Sat, 27 Apr 2013
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