Gynecological inflammation with a hard lump in the lower abdomen requires an ultrasound examination?

Patient's question:

Gynecological inflammation causing a hard lump in the lower right abdomen, which cannot be detected by ultrasound. Can you help analyze what it could be?
I had a cervical polyp removed in October, and since then, I've been experiencing lower abdominal pain and a constant sensation of something moving inside my abdomen. After a few days, a hard lump formed (located in the area inward and upward from the right pelvic bone when lying down, and on the edge of the pelvic bone when standing). It doesn't hurt much when pressed, but sometimes it does, especially when I first wake up and have a bowel movement, when the pain is particularly noticeable. The gynecological examination suggested pelvic inflammation, but the ultrasound did not detect any masses, and they recommended I see a surgeon. The surgeon said the symptoms were not very significant (the lump sometimes appears large and sometimes not, and was not very noticeable during the examination), advising me to first address the pelvic inflammation. I have been taking many pelvic inflammation medications, but the lump remains large. Can you help analyze what this could be? Since I had an urgent matter and went abroad last month, I am currently not in China, so I may not be able to undergo a very comprehensive examination. I am just worried about what that lump could be.

Doctor's answer:

Hello, there are many causes of abdominal pain, which can mainly be categorized into pain caused by intra-abdominal organ diseases and pain caused by extra-abdominal organ diseases. Inflammation of intra-abdominal organs: such as gastritis, pancreatitis, cholecystitis, appendicitis, peritonitis, etc. For your condition, it is recommended to go to a regular hospital for examination. After a clear diagnosis, symptomatic treatment should be administered. The occurrence of gynecological diseases not only affects the patient's life but can also lead to the development of gynecological diseases. Therefore, it is best to have a vaginal examination at the gynecology department of the hospital to identify the cause and then receive symptomatic treatment. In daily life, it is important to drink more water and pay attention to personal hygiene.

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