Top
20
Doctor insights on: Ct Guided Drainage Appendiceal Abscess

Share
Dr. Herman Hammerstead
1 doctor shared a insight

Computed Tomography (Definition)

Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! the image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more


2

2
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

4

4
Male 32,Abdominal CT shows Shotty mesenteric & periaortic Lymph node likely reactive.multiple SB transient intussusception before,can it be cancer?

Male 32,Abdominal CT shows Shotty mesenteric & periaortic Lymph node likely reactive.multiple SB transient intussusception before,can it be cancer?

No: doesn't sound like, however the explanation of the CT findings should be in context with the clinical picture, hence the ordering physician would be able to explain better, best wishes ...Read more

5

5
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

6

6
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

7

7
Liver cyst on CT scan need biopsy?

Liver cyst on CT scan need biopsy?

Almost certainly not: Provided it is a 'simple cyst' which is a fluid filled sac. Sometimes if there is debris or septations as cyst may be aspirated. If you are asymptomatic and the lesion is a simple cyst, it's best left alone. ...Read more

See 1 more doctor answer
8

8
CT show rectum perforatd,abscess's large fluid colection,Chest xray show lung infection,develps sepsis treatd as chest infection? why not blame pelvis

CT show rectum perforatd,abscess's large fluid colection,Chest xray show lung infection,develps sepsis treatd as chest infection? why not blame pelvis

Good Question: This is complex and should be reserved for discussion with u'r doctor or doctors who treated u. Certainly a perforated rectum is an emergency and can cause sepsis, but again, there seems to be a few things happening that make this more complex and not so appropriate for this type of forum . ...Read more

See 1 more doctor answer
9

9
Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?

Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?

No, not common: Bowel obstruction can occur due to post op adhesions(uncommon) or tumor left behind(this will happen if the cancer was advanced/late stage. Your doctor will have to sort out which of these two possibilities apply to your case. ...Read more

See 2 more doctor answers
10

10
My CT scan report reveals polyp retention in left maxillary sinus and bilateral sphenoid sinuses,polyp measures 3*1.8 cm.Is surgery necessary?

My CT scan report reveals polyp retention in left maxillary sinus and bilateral sphenoid sinuses,polyp measures 3*1.8 cm.Is surgery necessary?

Probably: Prior allergy history? Family history? Other illnesses. Sound like large polyps, unlikely malignant but may be! May need open surgery. ...Read more

See 2 more doctor answers
12

12
Ovarian cyst & retroperitoneal adenopathy on CT scan. What is survival time?

Depends: Survival time will depend upon what the diagnosis is. The ovarian cyst and the enlarged lymph nodes may be unrelated to each other. You need further evaluation and biopsy of the enlarged lymph nodes if appropriate. ...Read more

13

13
Diag w/appendiceal involution /intussus -ception n 2 cecum. Appendiceal tip dilated measuring 10 mm.Appendix can't be seen.Addt. Test recommend?

Diag w/appendiceal involution /intussus -ception n 2 cecum. Appendiceal tip dilated  measuring 10 mm.Appendix can't be seen.Addt. Test recommend?

See surgeon: If you are having symptoms, such as right lower quadrant abdominal pain, and you have appendiceal pathology found on an advanced imaging study, such as a ct scan, you should probably go ahead and have your appendix removed, most likely laparoscopically. Speak with a general surgeon. ...Read more

See 1 more doctor answer
15

15
Sonogram shows 2.2cm, (2) 1cm in neck lymph's. CT contrast scan doesn't identify lymph's. I'm told its inflammation. CT does not pick up inflammation?

CT can: identify soft tissue inflammation, and can identify lymph nodes. Hard to speculate as to why the CT scan didn't show the lymph nodes, but I suspect if they looked normal the radiologist decided not to mention them. The only way to be certain is to have the radiologist look at the CT and ultrasound side by side and reconcile the discrepancy. ...Read more

18

18
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

19

19
CT shows thickening of the peritoneal reflections? Dr didn't mention anything. CT was done for perirectal abcess.

CT shows thickening of the peritoneal reflections? Dr didn't mention anything. CT was done for perirectal abcess.

Peritoneal lining: The peritoneum is a thin cellular lining that lines the inner abdominal wall and all of the organs and bowel loops within the abdomen and pelvis. It can become thickened for a variety of reasons, such as related to infection, inflammation, fibrosis, infarction, trauma, response to medication or chemotherapy, or cancer. The CT appearance of thickened peritoneal reflections by itself is nonspecific. ...Read more

Discharge (Definition)

Discharge can be a noun or a verb; it has multiple meanings in physics, chemistry, military, and legal usage. The most common medical meaning is a substance that is being excreted. Examples: pus is the discharge from a pimple; a vaginal discharge can mean infection; an ear discharge can mean an infection of the outer ear tract; a nasal discharge ...Read more


Dr. Theodore Davantzis
2,520 doctors shared insights

Abscess (Definition)

Occurs when one has an infection in a part of their body, and the infection is being surrounded and fought off by white blood cells, causing a lump of purulent whitish thick material (pus) ...Read more