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Having abdominal pain and urine not passing properly. Spiral ct scan of abdomen done. What is the actual problem?

Spiral C T scan of whole Abdomen Name of patient- R.k.Saxena Age-73(Male) Non-diabetic Asthametic no-B.P Recognised Details:Patient have sevior pain in lower Abdomen.And Abdomen is swelled. Urine is not passing properly. IMPRESSSION: Of C T scan- An ill-defined area fluid collection with multiple air bubbles close to the descending colon in LIF? pericolic/diverticular abscess . Endoscopy may be suggested for further evaluation. Drugs- RANTEC I.V, MONOCEF I.V 1GM, DYNAPAR. --- 5 DAYS (GIVEN) What is the actual problem & suggest medecine and treatment.
Asked On : Wed, 23 May 2012
Answers:  2 Views:  77
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General Surgeon 's  Response
hello dear
an elderly patient with above symtoms and CT scan report most likely diagnosis is diverticulitis. diverticula is nothing but a hallow projection from colon (Its like cup).since already there is a abscess, it might have perforated. hence you are adviced to continue antibiotics,analgesis. once symptoms come down ,you are adviced to under go COLONOSCOPY ( a test to visualise the colon from inside).
after confirmation , diverticular disease requires SEGMENTAL RESECTION of colon provided patient with stands the procedure.
take care
Answered: Wed, 4 Jul 2012
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Oncologist, Surgical Dr. Rohan Khandelwal's  Response
Mr. Saxena is suffering from diverticulitis (outpouching of the wall of the large intestine with inflammation of that area). This problem is quite common in elderly patients and can be associated with abscess formation, fistula formation (connection between the intestine and the urinary bladder) or perforation of the colon.
He has to be started on IV antibiotics (which is he is receiving although Monocef alone will not suffice, he will need Metrogyl for anaerobic organisms and Amikacin for gram negative organisms). Along with this he will require some form of drainage of this abscess (either open or ultrasound guided).
A colonoscopy is also required to assess the extent of problem but should be done under the cover of antibiotics.

Hope he gets well soon
Answered: Wed, 23 May 2012
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