Radi se o mojoj majci (70 god) koja već duže vreme ima bolove u predelu zeluca.
Radjeni su raznorazni testovi, CT scan, MRI...i ništa naročito dr. ne preduzima. Prošle godine u ovo vreme GI doktor je savetovao dijetu sa sto manje mesa, dosta ribe, ništa od paradajza, narandzi, limunova itd.
Evo posle 1 god pridržavanja šta jesti a šta ne, ništa se nije promenilo i zadnji CT (uradjen prošle nedelje) scan kaže:

„There is again noted an ill defined abnormality involving the mesentery. This appears centered about the root of the mesentery. There is an ovoid region of abnormality with a lobulated contour, mass-like, and extends over an area measuring approximately 5X9X13 cm. There is a hazy increased attenuation of the mesenteric fat in this region. Scattered nodular densities of greater soft tissue attenuation are also noted within the hazy fat. The mesenteric vessels appear to course normally through this area. Overall size and appearance is quite similar to the prior CT exam.

Ukratko : liver and spleen appear normal ...pancreas, gallbladder and biliary tree unremarkable, adrenal glands are symetric, small punctate stone in right kidney, ...etc...
ništa drugo nije važno (mislim)

i zakljucak:

1. Ill defined abnormality involving the root of the mesentery with hazy density of the mesenteric fat, somewhat mass-like, with nodular areas noted throughout. Vascular structures course normally through this area, so a discrete mass lesion is thought to be unlikely.
Appearance would be most suggestive of a retractile mesenteritis, and appears similar to the prior study.
2. Small punctate stone mid pole right kidney.
3. colonic diverticular disease, without CT evidence of acute diverticulitis seen at this time
4. Senescent changes skeleton and vasculature.

Na ponovnom pregledu (prošle nedelje) kod GI, on kaže da tu nema ništa za njega i da će preporuciti biopsiju ili pregled kod hematologa, spominjao je limfne zljezde.
Njen primarni dr. kaže nije to ništa i proba da da dijagnozu IBS. Zakazuje 'second opinion', a na moje insistiranje da joj se zakaze nešto da se konacno vidi šta je to boli već duže vreme, zakazace pregled kod hirurga ...

Ako možeš da das svoje mišljenje u vezi ovog nalaza, ja ti se unapred zahvaljujem...ili bilo kakav savet šta još da se testira, snima ... itd (mada je sve već snimano i testirano i nema nikakvih problema)
Krvna slika je dobra osim vrlo malo povisenog holesterola.

Hvala ”