Have abdominal pain. Have bloating, pressure, swelling. CT scan normal. Shows predominantly fat attenuation mass. Take out the mass?
Patient: I am 42 with abdominal pain. My symptoms are bloating,pressure, swelling , pain on my lower right sideI look like I'm 8 months pregnant! My stomach  usually gets bloated the week of my menstrual then it goesBack to normal, but this time it has been swollen and painful for 2 days. I had a pelvic abdominal CT Scan done last month and the results were normal ( liver spleen and pancreas).  It did show i have a heterogeneous but predominantly fat attenuation mass  in my right adrenal gland  approximately 3.3x2.9x3.8 cm My questions are Can this be one of the causes of  my swollen abdomial ?Should i request this mass to be taken out? My Dr said its nothing to worry about because of the size and follow up in 4 months have another CT SCAN done to see if it has grown.  Should I go to the Hospital emergency regarding the symptoms i am feeling now?? Doctor: Hi,    1) Based from the information you are having abdominal pain in lower rt side and having bloating, pressure and swelling. I would need you to check for pregnancy test you may first try urine test. If urine test comes positive the have an ultrasound to check if the pregnancy is not inside the tube and only in the uterus.     Their are chances of ectopic pregnancy or pelvic inflammatory diseases that needs to be ruled out.    2) Now from the mass ,based from the information provided you may have Benign tumors that arise from the adrenal gland can be either non-functioning or hyperfunctioning (whereby normal hormones of the adrenal gland are produced in excess). In some cases, these masses produce no complications, while other masses may cause life-threatening symptoms due to the excess production of certain hormones.     If possible to get it resected if your doctor thinks you do not have any risk from operative surgery just to be on safe side. Hope it helps.Dr. JAY PATEL.