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Doctor insights on: Bowel Abscess

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Can CT show images of perforated bowel abscesses large fluid collection with an air level, and be WRONG????

Can CT show images of perforated bowel abscesses large fluid collection with an air level, and be WRONG????

Unlikely: It is unlikely that a CT would be wrong. It is a very good test for assessing abscesses and an air/fluid level is an excellent indication of perforated bowel. It could however have been read incorrectly but most radiologists are expert in reading CT scans. You should ask for a second radiologist to read the CT if you suspect an error. ...Read more

Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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My boyfriend has diverticulosis without hemmorage. Ct scan and rectal contrast he had done. Just showed bowel thickness. Maybe abscess maybe surgery?

My boyfriend has diverticulosis without hemmorage. Ct scan and rectal contrast he had done. Just showed bowel thickness. Maybe abscess maybe surgery?

Depends on his: symptoms. If symptoms resolve after treatment with antibiotics, then medical treatment without surgery should be ok. If symptoms recur, or pain, fever, bleeding, or diarrhea, intervene, then surgery might become necessary. Most importantly, make sure that this is not colon cancer. Have him consult with a gi specialist just to be sure. ...Read more

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Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.

Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.

Possibly: From what you describe, it sounds like surgery is a good option. If this is the first episode of diverticulitis, then the doctor may give antibiotics a try and determine later if surgery is required. Usually surgery is needed at some point. ...Read more

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If CT shows perforated bowel , multiple air pockets, abscess's and large fluid collection in pelvic area, Can the CT be wrong ?

If CT shows perforated bowel , multiple air pockets, abscess's and large fluid collection in pelvic area,  Can the CT be wrong ?

Unlikely: Dangerous set of circumstances!, Get drained and diverted --- General surgery or possibly interventional radiology or both!left or right colon perforation, or appendiceal abscess if on right. ...Read more

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First ct scan diverticulitis thought he had fistula. Second Ct scan radiologist said no fistula bowel thickening maybe sigmoid abscess ct be wrong?

First ct scan diverticulitis thought he had fistula. Second Ct scan radiologist said no fistula bowel thickening maybe sigmoid abscess  ct be wrong?

Not necessarily: The interpretation of the same ct scan can be changed according to the clinical picture. The clinical picture has support the ct scan and until it would the reading of the ct scan can change. So, it is a fluid situation , it is not rigid. Reading of the ct has to match the clinical condition of the person. I hope this helps. ...Read more

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I got a robotic surgery done to remove an ovary. Days later, i had bowel obstruction and a soft ball sized abscess on the intestines. I had to get removed 8 inches of intestines.Is there any connection between the two?

I got a robotic surgery done to remove an ovary. Days later, i had bowel obstruction and a soft ball sized abscess on the intestines. I had to get removed 8 inches of intestines.Is there any connection between the two?

Robotic surgery : It is possible that there was an injury to your intestines during the removal of your ovary which caused the abscess. Generally, with an abdominal abscess, you don't need to remove intestines unless there was a problem with the intestines that caused the abscess. ...Read more

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Is there a difference in pelvic abscess and a stricture of the bowel after ileostomy reversal surgery?

Is there a difference in pelvic abscess and a stricture of the bowel after ileostomy reversal surgery?

Yes: Following reversal the bowel is reconnected and dropped back inside. If the new connection leaks or bacteria gets in, an abscess can form causing pain /fever (treated with antibiotics, drainage or more surgery). This and other problems like mild infections, scarring, kinking, recurrent disease, etc, can cause strictures (narrowing). If severe, that causes partial blockage, bloating, pain. ...Read more

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My son was diagnosed with appendicitis the results of it..He had an abscess on his pelvis blocking his bowel and bladder will he hve any future health?

My son was diagnosed with appendicitis the results of it..He had an abscess on his pelvis blocking his bowel and bladder will he hve any future health?

Abcess appendix: Sorry to hear about your little gut. While his immediate recovery may take a bit longer because of rupture, there is usually not much else long term that could be problematic. Sometimes there is a bit more scar tissue in the area from a ruptured appendix. Which could make child a bit more prone to obstruction down the road, but if good surgical technique and debridement done, unlikely! ...Read more

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First ct scan showed diverticulitis with possible fistula. Second Ct scan no fistula possible abscess can scan be wrong again? Bowel thickening no sym

First ct scan showed diverticulitis with possible fistula. Second Ct scan no fistula possible abscess can scan be wrong again? Bowel thickening no sym

I'm afraid: that the first may have been a situation leading to the second ct scan result. the fistula has closed leaving an abscess "in its wake"......check this out ASAP with your GI doc for possible surgical referral.. Hope this helps and good luck Dr Z ...Read more

Dr. Theodore Davantzis
2,454 doctors shared insights

Abscess (Definition)

Abscess is a condition in which a person has an infection in a part of his body, and the infection is being surrounded and fought off by his white blood cells, causing a lump of purulent whitish thick material (pus) where the infection is. Abscesses can be very small like an acne pustule, or they can be ...Read more


Bowel (Definition)

The bowel is the intestinal tract in the body. The small intestine ...Read more