My DW recently started noticing a thing where she would have about 10 seconds of level 5 pain, accompanied by a firmness or hard spot in her abdomen, presumably part of the small intestine (she has an ileo so Colon is out of the picture). Then it resolves and the pain and firmness are gone. So far it has only happened a couple of times in the past week. Symptom management suggests that it may be an adhesion and not to worry about it. Should we? I know adhesions are part and parcel of abdominal surgery (of which she has now had 3) but do they tend to work themselves out or get worse over time? Her last surgery was in April 2017. In the back of our minds is also the concern that it may be related to her peri mets which is a much scarier thought if they are progressing. She is currently on bi-weekly maintenance chemo (5FU/Avastin).
DW Dx 7/15, 41 yo, st IV, 3+ liver mets: 11.3 cm, 7cm, 3cm. MSS.
KRAS, APC, SMAD4, TP53 mut.
7/15-10/15: FOLFOX+bev. x8
11/15-12/15: SIRT (Y90)
1/16: Toxic Hepatitis, chemo break
4/16: Liver resec. fail
5/16-7/16: FOLFIRI x6
8/16: Liver resec.
8/16-11/16: FOLFIRI x6
2/17: IMRT/Xeloda x25
6/17: CT: Progression. Peri, Lung, Liver mets. FOLFIRI x6
9/17: FOLFIRI+Bev x5.
11/17: CT: Stable. 5FU+bev. maintenance x5
1/18-2/18: Surgery for SBO
5/18: ascites, acute liver injury