Doctor insights on:
Can CT scan clearly pin point the location of colon perforation and determine the size of the hole, using color contrast drink?
Sometimes : If the perforation is large enough, and the oral contrast is in that loop of bowel, then yes. A very small hole may not be seen that way, but the ct will show air that has leaked out of the bowel, which can help the surgeons if an open repair is required. ...Read moreSee 1 more doctor answer
Could a Colon Perforation be confused with a Anal Fissure? How can I tell the difference? Worried I might get Peritonitis if I have a perforation.
No it shouldn't : anal fissure will usually give you pain in the anal area and mostly after bowel movement. Colon perforation is a life threatening emergency presenting with severe abdominal pain, nausea, fever and usually progressing to more severe symptoms of not addressed promptly. Recommend to see your general surgeon or gastroenterologist if you having rectal pain. ...Read more
Does it matter if my colon perforation is from tumor or infection. I didn't have screening before surgery. T3nomo? No chemo.
Is golytely fatal to pts with partial obstruction with colon perforation? (Stage 4 CRC with mets to lung)
No: Golytely is a bowel diuretic drawing fluid into the colon. If there is a patient with partial obstruction and with possible colonic performation, why would a bowel diuretic be employed that could cause a greater leak of GI fluid into the periotoneal cavaity, especially in the face of lung mets.? Laparoscopic evaluation of a possible leak may be necessary if not proven by radiologic evaluation ...Read more
How could someone know if they had Peritonitis? Are there always symptoms? Or should I go to the doctors to check? I experienced bleeding while in bathroom. Anal Fissure or Colon Perforation? Thanks.
Peritonitis Symtoms: Peritonitis will cause excruciating pain and usually associated with infection in the abdomen. Bleeding can be from hemorrhoids. Anal fissures tend to cause a lot of anal pain. Doubtful that you have colonic perforation. When you see a doctor, they should find a cause for blood per rectum by simple examination and perhaps colonoscopy. ...Read more
It can: If a tumor enlarges it can lead to an obstruction. If the obstruction persists, than a perforation can occur. Also it not necessarily the size of the tumor, it is how far it penetrates through the bowel wall. Another important reason to have a colonoscopy when needed. Hope this helps. ...Read more
What will be the cause for 29 years old girl diagnose for colon cancer? Colon abscess? Perforation? Diverticulitis? Stage 2a (t3nomo)
Hereditary: Abscesses, perforations, and diverticulitis are not known to cause colon cancer. Colon cancer in a young person may be due to an inherited cancer susceptibility problem like lynch (hnpcc) or gardner's (fap), especially if there is a family history. Genetic counseling and tests can be done to determine if there is a hereditary genetic predisposition. ...Read moreSee 2 more doctor answers
Went to dr today. Did an X-ray of my colon and confirmed that I was constipated. Had there been any perforation or anything would they have seen it?
It depends: It depends on what kind of X-ray, and what kind of perforation. If an upright or decubitus X-ray was done, free intra peritoneal air can be seen. If it was only a supine X-ray, it would be difficult to see. A walled off or micro perforation, or a retro peritoneal perforation, would also be very difficult to diagnose on standard X-ray. ...Read moreSee 1 more doctor answer
Partially yes: The staging information is generally favorable. The T3 means that this tumor was involving the bowel wall but not the surrounding organs and this may have contributed to the perforation during the dissection. My advise is when you see an oncologist, make sure to point out this information. Even though you are node negative, the oncologist may be more willing to recommend chemotherapy to be safer. ...Read moreSee 1 more doctor answer
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