Help reading CT scan results!

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JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 8/10/2009 9:09 AM (GMT -7)   
Because this forum has always been so helpful and knowlegeable about things, I was wondering if anyone has experience in CT scan/radiology terminology.  I have spoken to the doctor about it, but I was wondering if you guys could just tell me in plain English what some of this means.
 
"There is diffuse dialation of the small bowel and colon.  There is gas and stool throughout colon."  (i thought that part is normal)
 
 
"There is minimal gas in the right retroperitonem extending along the posterior abdomin wall of uncertain etoligy.  Correlate with history of intervention or injury."
 
Do you guys know what this is?   Thank you in advance!
 
Oh... and to anyone out there who has has preforations in their colon...  do you have surgery for that?  Do things like that get worse if not treated and what causes that?  Sorry off topic, but i had to ask that.  Thank you again!
 

CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 8/10/2009 9:40 AM (GMT -7)   
Ive had perforations, 3 at once. and you have surgery, its very dangerous to not get immediate surgical intervention, your stool spilling into the abdomin will kill you. So I guess that is 'things getting worse if not treated'.

Im not real sure about the exact terminology, Id assume diffuse dialation means almost an inflammatory effect throughout, and that the reason they mentioned the gas is because they knew of no real reason why that gas should have been there....which is a tell tale sign of perforation...Which might be why you brought it up.

JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 8/10/2009 9:46 AM (GMT -7)   
Funny thing.. is that I got these results last night in the ER department... and the doctor told me last night it was just another part of my chronic illeus..

then JUST NOW, right when I posted this, this morning.. another doctor, head of the ER dept. just called me to tell me they found this small preforation in my colon behind my abs???? He said if i get worse to come in , but in my condition i only get worse, so its not different to me. I contacted my current GI about this also this morning, and I guess I'll wait to see whats next.
Funny how they called me because they messed up in not telling me this, and they found more. wouldn't that be a huge mess-up on their end?
Is the surgery for preforations major? painful? how long?
what are your symptoms of preforations?

CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 8/10/2009 9:51 AM (GMT -7)   
severe sickness, cant hold things down really, constant vommiting, probably cant hold down water, high fevers, extreme extreme pain, more then you've ever felt before. Well because my surgery was emergency and had the complications i was in the hospital 22 days, thats not normal. I'd assume about the same length for any abdominal surgery which still varies person to person so maybe 4 to 7 days. Yea Id assume they ddi mess up and that'd be a good civil suit against the hospital if something happened to you.

JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 8/10/2009 1:18 PM (GMT -7)   
thank you for helping me out. when these preforations started with you, was it something you had eaten to cause it? were you at home and then rushed to the ER? How soon after did they do surgery? It took hours for them just to do a CT, let alone a surgery. What did you do in the hospital everyday for those 22 days?

yeah, i think they know they released me when they should not have, even though they did want to keep me because of my ileus condition, but this perforation was not mentioned last night. they called me this morning to tell me the new news.

CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 8/10/2009 6:52 PM (GMT -7)   
diffuse = spreading or scattered
dilatation = expansion of an organ or vessel
retroperitonem= the space behind the peritoneum
peritoneum = the serous membrane reflected over the viscera and lining the abdominal cavity
viscera = internal organs enclosed w/in a cavity, especially the abdominal organs
posterior = toward the rear
etiology = cause of a disease

peritonitis = inflammation of the peritoneum caused by infectious organisms that gain access by way of rupture or perforation of viscera

Patients who develop peritonitis are treated with antibiotic therapy. The prognosis is guarded.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 8/10/2009 7:04 PM (GMT -7)   
No its nothing to do with my diet or eating, I had taken a M2A study, is what it was called at the time, for mouth 2 anus, and its the pill capsule camera, I swallowed it and it was supposed to pass no later then like 3 days i believe, but on day 5 still hadnt passed, but I flared so I was in the ER and then admitted to a floor, a fill-in GI went and did a colonoscopy while I was in there and we kinda think that caused it, but it wasnt his fault, it was because I was inflammed so much that the pill camera got caught or stuck at a inflammation point, and the GI went and flew the air in with the scope to let it pass the inflammation point, well we believe that caused the porforations. I was in MY local Regional Medical Center where all my doctors were. that night my surgeon came in to see me and while he was there the camera passed through and into my ostomy. My GI was leaving town to go hiking through mts in another country in asia and would be gone for 30 days, he and everyone else knows I have a severe case and he said he didnt trust another doctor or GI running my case for my sake, and this is a hospital of about 650 doctors might not sound like a lot to a university hospital but this is a regional medical center. So I was transferred to the capital, Richmond Virginia that night, and sent to VCU or Virginia Commonwealth University Medical Center, which was previously MCV, or Medical College of Virginia. I was at the local medical center for 6 days, and VCU for 16 days, it even took a week as I can remember to find out there was porforations, they knew there was air in the bowels but didnt realize how much or why. Anyways when they found out, I had two doctors that didnt leave my room, and I got an EJ port, and a port in my arteries deep in my leg which sucks and hurts. I was in surgery within 2 hours of finding out there were porforations. I didnt have to find things to do, I was in so much pain and was getting so much pain medicine they had a pain mangement dr come manage my case for medications alone, which is when I realized there was pain management. Anyways I dont even remember most of it, I remember leaving the local hospital getting to the University hospital I remember when the chief resident told me I might die, and I remember them saying my potassium was so low they were worried Id go into cardiac arrest, so I got bag after bag in IV, had to drink liquid, which is the worst taste you'll ever have, AND the big yellow horse pills for it also.
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