Colon resection now abcessed

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Colon resection now abcessed

Postby janrenea » Thu Feb 22, 2018 7:43 pm

I had a colon resection Feb 1st, had a hematoma 2days later.
Hemaglobian went from 12 to 7.3. Went home after 5 days
It is now the 22nd of Feb and I have had a fever for five days
But last night it was 104.4 so I called the doc and was told to come in. I had no other symptoms but fever. I went In and had bloodwork and another CT Scan. Was called this evening and
Told to be at the hospitals imaging department early tomorrow
Morning to have it drained. When the nurse called to tell me that she did not say I would
Be staying over but as I read many updates on this site about this leads me to believe it is a hospital stay. Any advice on what to expect?

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Re: Colon resection now abcessed

Postby CRguy » Fri Feb 23, 2018 12:53 am

BTDT so my situation may not mirror yours .... BUTT

I had a fever which would not come down and internal pelvic "aching" not really pain ... which would not stop
all starting about a week out from resection
I was back in hosp for a while after a pelvic abscess, post resection
I did have it drained and flushed with the interventional radiology dept
after I was re-admitted and put on IV antibiotics

later went home with a drain which I flushed at home ( I am a vet with lotsa' medical experience :shock: )
and was treated as out patient until the drain came out with a follow up scan to show it had resolved.

Depends on your exact situation, BUTT be prepared for some more time in hospital
... just sayin'

they should do a culture on what they drain and get you on some heavy duty antibiotics
... = JMO 'cos ... BTDT

Best wishes and let us know if we can be of more support for you

Caregiver x 3
Stage IV A rectal cancer/lung met
10 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

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Re: Colon resection now abcessed

Postby plastikos » Fri Feb 23, 2018 12:56 pm

Sorry to hear this. Had a somewhat similar experience with an abscess after liver resection. Treatment is to drain and give antibiotics. If it’s any consolation some people say the stimulation of one’s immune system caused by the infection can “theoretically” improve one’s odds of cure. Hope it goes well.
Diagnosed St. IV Colon CA @ 37, male, Kras wild type, MSI-high (2014)
11/2014 Right Hemicolectomy + Liver Resection
12/2014 - 6/2015 FOLFOX + Cetuximab
10/2015 - Recurrence liver
Liver resection 10/2015
FOLFIRI 11/2015 - 5/2016
Recurrence liver, nodes 11/2016
Pembrolizumab 12/2016 -> pseudoprogression (?), biliary obstruction -> biliary stenting
Chemo 4x: most mets inactive and smaller on PET-CT
March 2017 - Back on Pembrolizumab
Sept 2017 - SIRT

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Re: Colon resection now abcessed

Postby Utwo » Fri Feb 23, 2018 9:21 pm

Have you had an internal or external hematoma?
Internal hematoma can liquefy and get infected. :(
Theoretically speaking such fever can be also caused by leak, however It seems to me that this is unlikely 3 weeks after a surgery.

Good luck and best wishes!
58 yo male at diagnosis - T1bN0, 0/15 lymph nodes, low grade/moderately differentiated adenocarcinoma
03/2016 colonoscopy #1: 2 small polyps removed in left colon; CEA = 1.3
04/2016 colonoscopy #2: caecum sessile 3.5 cm polyp piecemeal removed with kind of clear margins
05/2016 CT scan, blood test ...
05/2016 "prophylactic" laparoscopic right hemicolectomy with a few complications (bleeding, leak, infection)
06/2017 CT scan (lower body), colonoscopy OK; CEA = 1.6

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