Bile duct stones
Hello, doctor.
After undergoing surgery for bile duct stones, it has been over three months, and the wound has mostly healed.
However, I have noticed that the area of the incision (about an inch above the navel) feels swollen and seems to have air when pressed, but there is no pain.
I would like to inquire about what potential complications this condition may have or if any treatment is necessary.
Thank you.
AS, 20~29 year old female. Ask Date: 2020/11/10
Dr. Ke Fangxu reply Surgery
It may be that the fat within the abdominal cavity is protruding through the fascial incision.
If there is no pain or increase in size, it should not be a concern.
Otherwise, it would be advisable to have the surgeon examine it to confirm the diagnosis.
Reply Date: 2020/11/10
More Info
Post-surgery recovery after bile duct stone surgery can often raise concerns, especially when unusual symptoms arise. In your case, you mentioned that three months post-surgery, you have noticed a bulging area above your navel that feels like it has air when pressed, but it is not painful. This situation can be concerning, and it is important to understand what might be happening and what steps you should take.
Firstly, the bulging you are experiencing could potentially be a result of several factors. One possibility is that it could be a seroma, which is a collection of fluid that can occur after surgery. Seromas can develop when the body produces fluid in response to the surgical trauma, and they may feel soft or bulging under the skin. While seromas are generally not harmful and may resolve on their own, they can sometimes require drainage if they become large or uncomfortable.
Another possibility is that the bulging could be related to a hernia, particularly if there was any weakness in the abdominal wall during the surgery. A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. If the bulge is indeed a hernia, it may not cause pain initially, but it could lead to complications if left untreated.
Given that you do not experience pain, this is a positive sign, but it does not eliminate the need for further evaluation. It is crucial to consult with your surgeon or a healthcare provider to assess the bulging area. They may perform a physical examination and possibly recommend imaging studies, such as an ultrasound or CT scan, to determine the exact nature of the bulge and to rule out any serious complications.
In terms of treatment, if it is determined to be a seroma, your doctor may recommend monitoring it, as many seromas resolve without intervention. However, if it is a hernia or if the seroma does not resolve, further treatment may be necessary, which could include surgical intervention.
In addition to addressing the bulging area, it is important to continue monitoring your overall recovery. Post-surgery, you should be aware of any new symptoms such as increased pain, fever, changes in bowel habits, or jaundice, as these could indicate complications that require immediate medical attention.
Lastly, maintaining a healthy lifestyle post-surgery is crucial. This includes following a balanced diet, staying hydrated, and engaging in appropriate physical activity as advised by your healthcare provider. Avoiding heavy lifting or strenuous activities until cleared by your doctor can also help prevent complications.
In conclusion, while the bulging area you described may not be immediately concerning, it is essential to seek medical advice to ensure proper evaluation and management. Your healthcare provider will be able to provide you with the best guidance tailored to your specific situation. Remember, open communication with your medical team is key to a successful recovery.
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