QuestionThanks very much for your quick reply, information and reassurance. What happens to the fluid from the burst cysts? Also you said that fluid in there would be from a ruptured cyst - That would mean that there was more than one cyst as when the CT scan showed the fluid in the Pouch of Douglas the 37mm cyst was still there, so there must have been another one that burst? If polyps disappear then there is no point in having them removed (like some specialists do).. Regarding the Gastrostomy (the Gastroenterologist never told me where the pus was coming from) - I thought it was coming from in the abdomen and not the stomach as it is from around the outside of the tube. It was just a thought that it could be related to the free fluid in the pelvic area as it has to escape somewhere. Once again thank you for your time Kind regards
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Followup To
Question -
Hi
I have had a recent CAT scan and it showed a dominant cystic process in the left adnexal region measuring 37mm and a large amount of fluid in the Pouch of Douglas which appears to be loculated. My GP told me it was normal to have fluid there. Is this correct? The CT scan was done on day five of my period (bleeding had stopped). The radiographer of the CAT scan recommended an ultrasound be done for the cyst. I had this done one week after the CT scan. I am still waiting for the result from the ultrasound but the ultrasound specialist told me he could not see a cyst but that he found fluid in both adnexal areas, behind the womb and in the pouch of douglas. Is fluid in the pelvic area common? What would cause it? Is this anything to do with the peritoneal abdominal cavity? As for weeks I have been having a large amount of discharge/pus coming out onto my abdomen from the hole of a Gastrostomy tube. I just asked my GP to test it for bacteria..
Also it is strange that a large cervical lesion 'polyp' which was present in the cervical canal last June (with a trans vaginal ultrasound) has 'disappeared'.. Do polyps just go away? The recent CAT scan didn't pick it up or the recent ultrasound.
Thank you very much for your time and I look forward to any information you can supply.
Kind regards
Answer -
A sonogram is better for evaluating ovarian cysts and cystic structures than a CT scan. One of the most common causes for fluid in the Pouch of Douglas and in the sidewalls of the adnexa is fluid from a ruptured ovarian cyst. If the CT scan showed a 3.7cm (37mm) cyst and the sonogram showed nothing a week later, it appears that the cyst ruptured and disappeared. This is normal and common behavior for most cysts. Don't worry. It is also common for polyps to disappear and reappear frequently. If you are not having any symptoms, don't fret. If you are having pus from the gastrostomy tube, I doubt that it is coming from inside the abdomen, but rather from the intestines or stomach. If you have any doubts, check with your gastroenterologist. Good Luck.
AnswerThe fluid could have come from the cyst that was seen. The cyst could have been larger at one time, and, due to leakage of fluid, is now only 3.7cm in diameter, or you could be rignt and there may be multiple cysts. As long as they are not larger than 5cm, you need not worry. If no polyp is seen, then you can't remove it. Fluid from the cyst eventually resorbs. If the fluid that is coming out from around your gastrostomy tube is really pus, then you should definitely call your GI specialist and make sure that you have no infection somewhere.
