CT scan showing fluid in rectovesical pouch (ascities?)

Yesterday I went into A&E for a totally unrelated issue and ended up getting an abdominal CT scan with contrast. The issue I went in for ended up completely fine, however, incidentally the scan showed a small amount of fluid in the rectovesical pouch. They did a consult with surgical team and said that I can go home that it's not an emergency and that they'd call me in the morning next day after they've consulted with radiology and gastro what I should be doing next. Obviously at home I checked the issue they found and found that in males this is where any abdominal fluid would collect and it mentioned it can be either ascities or pus or blood but I don't think they'd send me home with pus or blood. They said the amount was small and only detectible on CT (not on a physical exam). What really has me worried is that after looking up what can be the cause it seems there are two major causes - alcoholism-related liver cirrhosis and advanced stage cancer. I don't drink so that mostly leaves the latter. The CT didn't show any obvious tumours, I also had a ultrasonography, upper endoscopy (esophagus, stomach, duodenum examined), a colonoscopy (entire colon + ileum) and a contrast CT about 6 months ago as part of my IBD screening and those didn't show any tumours, could a tumour have grown in 6 months or just been missed on all those tests? I'm really worrying I might be facing a prospect of having like 3 months left to live.

  • Hello Trace881

    I'm sorry to hear that you've recently had some health concerns following a CT scan. It's understandable that you have lots of questions and are feeling worried about what this pocket of fluid may be. 

    We know that many people turn to the internet at times like this searching for answers and information. Unfortunately, we know that what many people find is outdated or inaccurate information that still doesn't answer their particular circumstances. Instead, they're left feeling more worried and anxious whilst waiting for the next appointment. 

    Try to remain positive that your most recent round of tests didn't show anything of concern and indeed this CT scan didn't give any other immediate red flags to the clinical team. 

    Hopefully, you won't have to wait too long to hear from the Consultant about what the next steps may be and the team will be able to give you some firm answers before too long. 

    In the meantime, if you think it might be helpful to chat things through with one of our team of nurses you're welcome to call them on 0808 800 4040, Monday to Friday 9 am to 5 pm. I'm sure they will be happy to offer any advice and information that they can. 

    Do let us know how you get on. 

    Best wishes, 
    Jenn
    Cancer Chat moderator