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When you said your surgeon opened the incision twice, I suppose you refer to port sites of laparoscopic surgery, not open surgery. In the image (attachment removed to protect patient identity), you are pointing to the right lateral region and right lower quadrant of the abdomen.
Please answer my questions. Is the pain continuous or coming and going? How frequently you get paid? If the pain comes and goes, how long does the pain stay? Is the pain related to food intake? If so, what are the food items that cause pain? Is the pain associated with vomitings or loose motions or constipation, or fever? Do you have burning while passing urine, or abdominal bloating, or jaundice?
Pain is well below the gall bladder area. So it may not be a complication related to gall bladder surgery. Possibilities are port site hernia, stones in the right ureter (urine tube coming from the right kidney), adhesions with intestine colic, or food intolerance. Please answer the above questions. It will give more information regarding the cause of pain.
I suggest you take complete blood picture, complete urine examination, and ultrasound scan of the abdomen.
Investigations to be done:
If needed CT scan abdomen and pelvis with oral and IV contrast after doing serum creatinine can be done.Differential diagnosis:
Right ureteric colic. Intestinal colic due to adhesions. Port site hernia.Probable diagnosis:
Right ureteric colic. Intestinal colic due to adhesions. Port site hernia.Preventive measures:
Avoid oil, spice, and chilly foods. Take more water, fruits, and vegetables. Avoid foods that cause food intolerance and pain.