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What does the CT scan images indicate?

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Posted on Tue, 26 May 2015
Question: Hello! I am attaching my CT scan images related to abdominal pain, bloating, fatigue. My GYN doctor told me it was "basically normal" . In the images, it alarms me to see my Filshie clip in my Right upper quadrant. It migrated all the way up from my left lower quadrant -as you can see the other clip ins in my RLQ. I have pain in my RUQ too.
My question is - should I see a GI doc or GYN?
Second -0n the the second view on the CT it looks like it is in my bowel. Could this be a cause of my pain? It seems crazy for this to migrate up so far!
Thanks
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Answered by Dr. Vivek Chail (38 minutes later)
Brief Answer:
The clip is outside the bowel in image sent, please see a surgeon for pain

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. On the X ray I can see 3 clip like objects
(i) overlying the right lobe of liver
(ii) overlying the right lateral margin of L 4
(iii) in the pelvis on the right side

Please confirm if 3 clips were inserted and if your have got any similar operative surgical procedure done

2. Among the 3 shadows, the CT one is most likely the first one and is placed next to the colon.

3. It is not inside the bowel but placed next to it.

4. Any clip in the wrong place might cause mild pain and discomfort but the rest of the abdomen also needs to be reviewed for any possible abnormalities.

5. The Filshie clips are made of inert material and are unlikely to be a cause of serious concern even if they migrate.

6. It is better to see all the images and then try to investigate the cause of pain.

7. Since the clip is not inside the bowel, going to the GI doctor will not help. Instead you can take an opinion from a general surgeon.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6842 Questions

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What does the CT scan images indicate?

Brief Answer: The clip is outside the bowel in image sent, please see a surgeon for pain Detailed Answer: Hi XXXX, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. On the X ray I can see 3 clip like objects (i) overlying the right lobe of liver (ii) overlying the right lateral margin of L 4 (iii) in the pelvis on the right side Please confirm if 3 clips were inserted and if your have got any similar operative surgical procedure done 2. Among the 3 shadows, the CT one is most likely the first one and is placed next to the colon. 3. It is not inside the bowel but placed next to it. 4. Any clip in the wrong place might cause mild pain and discomfort but the rest of the abdomen also needs to be reviewed for any possible abnormalities. 5. The Filshie clips are made of inert material and are unlikely to be a cause of serious concern even if they migrate. 6. It is better to see all the images and then try to investigate the cause of pain. 7. Since the clip is not inside the bowel, going to the GI doctor will not help. Instead you can take an opinion from a general surgeon. Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek