I was called in to see the surgeon this evening, to hear the results of the CT scan. Lots of good news, tinged with some not so good news.
So firstly, and most importantly, there is no sign of any cancer anywhere in my body. As far as the doctors can tell, I am cancer-free, which is excellent news.
They have also identified the likely cause of the pelvic pain that I’ve been struggling with, which has prevented me from stopping my painkillers, which is also excellent news.
Unfortunately that is also the less good news, as it appears to be a small leak from the join in my colon, which has resulted in an abscess forming next to the colon. The surgeon did a sigmoidoscopy, and the hole was clearly visible. Fortunately it looks like a very small leak, but this would explain the general pain, the elevated white blood cell and CRP counts, and (probably) the relatively slow overall progress that I’ve been making.
Options stretch from doing nothing, a course of antibiotics, some minor surgery, to (potentially) having to reinstate my ileostomy again, either temporarily or permanently. Clearly I favour the least invasive approach that produces the right result, as does the surgeon. So, we’re going to start with the antibiotics tomorrow, the surgeon is going to create a new care plan for me, and we’ll meet again in a week or two to determine where we go next. The first part of that plan is likely to involve either an MRI scan or another Gastrografin enema, to provide more detailed images of the actual abscess. The result of that will determine what we need to do next, though it was fairly clear that the surgeon (naturally!) thinks that the surgical approach may give the best result.
So, a slightly mixed result, but right now I’m focusing on “Cancer free” and I’ll worry about the rest tomorrow.