Abscess after Reversal

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Chertuc
Regular Member


Date Joined May 2006
Total Posts : 35
   Posted 8/1/2006 9:38 PM (GMT -7)   
Hi everyone. It's Cheryl and I had a ileostomy reverrsal on 7-14 and was released from the hospital on 7-17. Within a couple of days I had increased pain in my lower groin (below the incision) and began running a low grade fever. For two days the surgeon assured me it was "gas pain" and that I needed to walk more and take Gas X. By Friday 7/21, I was in the ER with sever pain and a temperature of 102. I was admitted that night.

I was diagnosed with an abscess under the original area of the ostomy. I have had three CTs and a they made one attempt to drain the abscess. During this attempt, they left in a JP drain which I still have. I spent the past 11 days in the hospital and practically went insane. I was discharged today on IV antibiotics and return next week for another CT. The only option beyond antibiotic treatment now is to have more surgery because the remainder of the fluid is in an area that they can no reach with a drain.

Has anyone else had this problem and if so, how did it resolve? I'm exhausted and just so tired of complications

wmnak
Veteran Member


Date Joined Jul 2006
Total Posts : 1123
   Posted 8/1/2006 9:52 PM (GMT -7)   

Oh, my ... you've been through a world of hurt!  Hope you can rest and heal some now that you are home, and will keep you in my thoughts for a good CT result next week.

:-)   Martha

Chertuc
Regular Member


Date Joined May 2006
Total Posts : 35
   Posted 8/2/2006 10:55 PM (GMT -7)   
Thank you so much. The support from everyone is part of what keeps me going. This has been a life saver to have a site and people that understand.

RITAS
Regular Member


Date Joined Feb 2006
Total Posts : 140
   Posted 8/7/2006 7:06 PM (GMT -7)   
Hi Cheryl,
 
I'm sorry to hear about your complication.  We went into surgery on the same day and was released on the same day.  I'm doing well.  My site finally closed up and I'm going back home next week to New Jersey.  I have been staying with my parents for 6 months while going through this battle because Cedars Sinai Medical Center is supposed to be the best at this type of surgery.  I'm very happy and excited to be reunited with my husband.  How are things with you now? I hope things got better.  How are your bowel movements? I go about 5 times a day and if I eat anything fried it'll go to about 8 times.  I also keep putting preperation H in the day to  pervent irritation and calmoseptine at night just to give me a cool feeling.  No leaks at all so far, thank God.  Please update me on your condition.
 
Rita

Chertuc
Regular Member


Date Joined May 2006
Total Posts : 35
   Posted 8/7/2006 9:48 PM (GMT -7)   

Rita,

  Glad to hear that you're able to go home. That's wonderful. I can't imagine being away for six long months.  I had the CT of my pelvis and abdomen repeated today. I should get those results tomorrow and the surgeon will hopefully decide if I can stop the three times a day IV antibiotics. This PICC line is inserted right in the ben of my arm and it's a real pain in the butt.  It keeps bleeding because the bending irritates it but it's almost impossible to never bend your arm.

   I feel much better but I'm so fatigued. I think that last hospital stay really took a toll on me. The surgeon had originally said I might be able to return to work next week but I really don't feel up to it yet. Besides, I'm still getting the IV's 3 times a day and I feel like I need some time to get my strength back. I have discomfort in my stomach, mainly around my waist area and I also have discomfort before bowel movements.  I go 2-3 times a day but I also have half of my colon left so they had told me I probably wouldnt go as often as someone who's entire colon had been removed.

   I'll let you know what the results of the CT are and if the abscess is cleared up. He told me not to expect it to be gone but if my fever is down and my pain is gone, we could assume that the abscess is now "sterile" and he would stop treating it. He had originally said I may have to take the IV's for another week. Guess I'll find out tomorrow.  Take care.

                                                               Cheryl

 


RITAS
Regular Member


Date Joined Feb 2006
Total Posts : 140
   Posted 8/7/2006 10:11 PM (GMT -7)   

Well I hope that your results come back normal tomorrow.  I know it's a struggle but you've already been through so much a little more patience is all that's needed from you and then hopefully this will all be a distant memory. 

I felt very fatigued after this surgery for a while as well.  It's very odd but I'm ok now.  I still get tired very easily but I'm sure my energy will come back in time.

How do you know that you have an abcess? What does it feel like or what is it exactly? Did they staple your incision and left it open for it to close on it's own? If so, when did you realize things were not right? I'm sorry I'm asking to many questions but I just want to know what to look for.  My incision finally closed up after a little scare.  It was pussing and bleeding a lot and just didn't look normal and my surgeon told me not to cover it anymore and to shower twice a day and just let water run over it for a little bit and should be fine.  As soon as I started doing that things took a turn for the better. 

Where do you live? How old are you? Do you have any kids? That's my next struggle is trying to get pregnant after all of this trauma. They told me not to try for at least a year while my body gets used to the changes and the jpouch.  I guess they say "good things come to those who wait".....we shall see!!!

It's been great talking and comparing experience with you!!!!... :-)

Chertuc
Regular Member


Date Joined May 2006
Total Posts : 35
   Posted 8/8/2006 10:09 PM (GMT -7)   

Rita,

  I was released from the hospital 3 days after my reversal. On the 5th day, I had a low grade fever and a slight pain in my groin. I called the surgeon's office to report what was going on and was told it was "normal" and that the pain was probably gas.  The same happened the next day but the pain was worse. Same answer from the MD's office.  Exactly a week after the reversal, I had a temp of 102 and was in severe pain. It was in my right lower groin or pelvic area and spread upwards into my stomach. I couldn't walk, sit or stand. It was horrible so I called the doctor on-call and was sent to the ER. I was admitted and the next day they did the first of several CT scans of by abdomen and found the abscess.  The absces is basically a sore in my stomach, most likely caused by bacteria from the colon during the reversal.

  My test yesterday revealed that the abscess is still there but they're stopping my IV antibiotics and we're going to see if I start running a fever again or if I end up having pain. The doctor said it could be "sterile" now and not cause problems but we won't know until we stop the antibiotics and see what happens. It scares me a little but we're going to try it. He may do a pelvic ultrasound if the pain continues. Worst case would be more surgery to go in and remove it. Not too thrilled about that option.

   My incision for the reversal was stitched and healed without problems. My last drain site ws slow to heal but is better now. I live in Indiana, I just turned 49 and have three children (25, 23 & 20).  My oldest is a son who was married last October and the other two are girls. The youngest leaves for college on Sunday so I'm pretty sad about that. She went locally for her freshman year but wants to go away this year.  :(  I'll really miss her.

   I hope you continue to improve and have great luck with having children. They are a true blessing and I don't know what I would do without mine.

 


RITAS
Regular Member


Date Joined Feb 2006
Total Posts : 140
   Posted 8/11/2006 12:43 PM (GMT -7)   

Hey Cheryl,

That's great news.  I hope it all works out for you and this is the end of your struggle.  I really have been praying for you.  You're kids need you to get better.  I didn't have drains, I guess because they left it open to drain on it's own.  I'm so nervous about trying for a baby in a few months.  I don't want to go back to disappointment when things are starting to get better for me. I'm sure you  can relate. 

How are you doing now that they stopped the anitbiotics????? Is the absess going to just stay there and not go away unless you do surgery??? I hope that you don't have to go through anymore pain....I'll keep you in my prayers.


Chertuc
Regular Member


Date Joined May 2006
Total Posts : 35
   Posted 8/11/2006 10:52 PM (GMT -7)   
Rita,
The antibiotics ended late Tuesday night and so far I've had a few achey pains in my pelvic area but nothing terribly painful and no fever. Of course I'm terrified that it's going to start up again so I'm sure I notice every little twinge! The MD says the abscess can become "sterile" after massive antibiotics and never cause another problem but we won't know until we get the antibiotics out of my system. Keep your fingers crossed and hopefully it will never cause me anoter problem!

Chertuc
Regular Member


Date Joined May 2006
Total Posts : 35
   Posted 8/11/2006 10:52 PM (GMT -7)   
Rita,
The antibiotics ended late Tuesday night and so far I've had a few achey pains in my pelvic area but nothing terribly painful and no fever. Of course I'm terrified that it's going to start up again so I'm sure I notice every little twinge! The MD says the abscess can become "sterile" after massive antibiotics and never cause another problem but we won't know until we get the antibiotics out of my system. Keep your fingers crossed and hopefully it will never cause me anoter problem!

RITAS
Regular Member


Date Joined Feb 2006
Total Posts : 140
   Posted 8/30/2006 7:34 PM (GMT -7)   

Hey Cheryl,

It's been a couple of weeks since I was in touch with you and you were off the antibiotics.  Just checking in on how you're doing.  I hope all is well and you're feeling better.  I have been praying for you.....


Chertuc
Regular Member


Date Joined May 2006
Total Posts : 35
   Posted 10/9/2006 9:00 PM (GMT -7)   

Ritas,

   Sorry but I haven't been on here in quite awhile. I'm back at work where things are crazy!  I have good and bad days but for the most part, I'm feeling pretty good. I've struggled with getting my strength back because we had a major layoff at work (which included my direct boss) and I'm now in charge of the entire building. This happened on my very first day back so I returned to some pretty stressful stuff.  How are you doing? I hope you're feeling well.

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