What Does This Pelvic CT Scan Indicate?
Thank you.
1. Large left inguinal hernia containing anteriorly herniated descending colon/sigmoid colon without evidence of bowel wall thickening or Edema, portal Venous gas or pneumatosis. or any other evidence of strangulation at this time, although the patient is at risk for future bowl ischemia and obstructions.
2. No free air or significant free fluid.
3. Subtle bladder findings can be seen with cystitis; correlate with urinalysis.
4. The more distal sigmoid colon shows a short segment of incompletely distended wall versus mild nonspecific colitis. Corollate for clinical significance.
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Need investigations for cystitis
Detailed Answer:
Hi XXXXXX,
Welcome to healthcare Magic!
The large inguinal hernia can jeopardise the vascularity of the bowel any time, and this is the most common complication in long run. If ignored in such a scenario there can be gut perforation with florid sepsis. CT scan is good investigation for detecting such problems.
Fortunately your CT scan is showing uncomplicated large hernia.
Another important finding is that of cystitis in urinary bladder. You might be having complicated urinary tract infection and hence should get a complete blood count and a urine routine and culture.
Follow with a local physician with the reports.
Looking to your large inguinal hernia it is highly advisable that you undergo a planned repair surgery because it is much safe to undergo a planned surgery rather than managing a complication.
I hope the advise would be informative and useful for you.
Take Care!
Which surgery would you think I would have to under go,open or other and do you think I they will put me to sleep? Also when a doctor looks at the CT Scan is is easy to misread and miss important problems or is it pretty straight forward ?
Hernial repair with Mesh reinforcement
Detailed Answer:
Hi,
Thanks for writing back.
Surgery involves placing back the herniated intestines and/or its parts into the abdominal cavity, excision of the sac and stitching a mesh over the weak point from where the abdominal contents herniated. Mesh is a net like sheet made of synthetic material non damaging to the human tissues.
Usually CT scan diagnosis is considered final but it can be misread sometimes rarely.