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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This CT Scan Of Abdomen And Pelvis Indicate?

I have been having slight, intermittent abdominal pain for about 3 months now. I m a 36 year old female. I had a clear pelvic ultrasound, normal blood work and a ct of my abdomen and pelvis.The report says: An approx. 4cm longs segment of mid sigmoid colon demonstrates presence of a few diverticula and a mild degree of liminal narrowing and fold thickening. It is not certain whether the findings demonstrate chronic diverticular changes and spasm or possibly a more fixed stricture of the colon. No surrounding inflammatory changes or abnormal fluid noted. How concerned do I need to be about colon cancer? I ve had a short episode of bright red bleeding yesterday and I m very scared. Could you explain the report?
Tue, 30 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history and CT scan report.

Yes, you should be concerned as per the report.
The CT scan report is just an additional information and should be correlated with your:
clinical history,
physical examination by a General Surgeon, and
most important is the colonoscopy findings and biopsy report.

Yes, the chances of cancer are there as there is a stricture and the diverticuli can be secondary to the obstruction.

The histology report will be the deciding factor.
Anyway the treatment is excision of the diseased segment after a careful preparation with oral antibiotic, metronidazole.

A good part of the CT scan is there are no lymph nodes, no fluid, no inflammatory reaction around the diseased part.

Gt ready and get operated for two reasons:
1. To get rid of the disease
2. to get histo-pathology report.
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What Does This CT Scan Of Abdomen And Pelvis Indicate?

Hi. Thanks for your query and an elucidate history and CT scan report. Yes, you should be concerned as per the report. The CT scan report is just an additional information and should be correlated with your: clinical history, physical examination by a General Surgeon, and most important is the colonoscopy findings and biopsy report. Yes, the chances of cancer are there as there is a stricture and the diverticuli can be secondary to the obstruction. The histology report will be the deciding factor. Anyway the treatment is excision of the diseased segment after a careful preparation with oral antibiotic, metronidazole. A good part of the CT scan is there are no lymph nodes, no fluid, no inflammatory reaction around the diseased part. Gt ready and get operated for two reasons: 1. To get rid of the disease 2. to get histo-pathology report.