Hello! I’ve received the observations on the picture attached, from a CT scan today. What would you suggest to discuss with a plastic surgeon for the best way to remove this? I’ve been through interventional radiology and was referred to plastic surgery since not much could be done.
The CT scan describes a sizable fluid collection in the subcutaneous plane of the lower abdomen, possibly an abscess or seroma. You should be evaluated by a general surgeon and a board certified plastic surgeon. Your history will be important.
What was the surgical procedure done before?
The CT Scan shows an abnormality of complex fluid collection, probable abscess. Also some surgical changes, what surgery? The complete medical and surgical history would depend on what medical or surgical specialty you need to see. Probably the surgeon who did the surgery or the medical care giver who ordered the CT Scan. Otherwise there are many good hospitals in your area with multiple surgical and medical specialties that can provide the care you need. Having an abscess with tracts to the abdominal muscles, may be beyond you need to have medical care fairly soon. If you had a panniculectomy then you need to see your surgeon soon.
You have a “rind” which develops after a pannic or abdomenoplasty. They are not very frequent but can occur when fluid persists. Usually after surgery. It should be removed to make your abdomen flatter.
If you had surgery by a plastic surgeon then you should see this plastic surgeon. If you did not have any surgery by a plastic surgeon then you should see a general surgeon. They will tell you what the problem is and what to do about it. According to what they tell you you will ask questions until you fully understand.