Was recently hospitalized for a small bowl obstruction. Have hx of endometriosis and 2 abdominal surgeries. My appendix and gallbladder have been removed. My lockage resolved on its own and surgery was not required. However, my CT scan showed a thickening which is now bing followed by a gastroenterologist. He wants to do a colonoscopy ASAP. My initial office visit is tomorrow. I'm wondering what questions I should ask. I had my first colonoscopy in 2007 which showed some diverticulosis without diverticulitis. The GI doctor seems to feel it is not Crohn's dz as was suggested in the radiology report. My report is as follows:
EXAMINATION: CT of the abdomen and pelvis with intravenous contrast.

DATE: 7/24/2013.

HISTORY: Abdominal distention. History of small bowel obstruction
secondary to adhesions.

TECHNIQUE: Axial CT of the abdomen and pelvis was performed after the
administration of 100 cc of Optiray-320 intravenous contrast.

COMPARISON: None available.

FINDINGS: There is mild atelectasis in the lung bases. No focal
liver lesions are identified. There is mild intrahepatic biliary
ductal dilatation. The patient is status post cholecystectomy. The
common bile duct is also mildly enlarged.

The spleen, pancreas, adrenal glands, and right kidney are normal.
There is a 6 mm stone in the inferior pole of the left kidney without
obstruction.

There are multiple dilated loops of small bowel in the upper and mid
abdomen. There is a discrete transition to normal caliber small
bowel in the mid ileum in the right mid and lower abdomen. Beginning
at the transition point, there is moderate wall thickening of the
ileum which extends over a length of approximately 15 to 20 cm.
There is a small amount of fluid surrounding some of the dilated
loops in the anterior abdomen. There is no pneumatosis. There is
some fecalization of the contents of the small bowel just proximal to
the transition. There is also a small amount of free pelvic fluid.
There is mild diverticulosis of the descending and sigmoid colon.
There is no acute diverticulitis. There are postsurgical changes in
the omentum of the right abdomen. The appendix is not identified.

The urinary bladder is normal. The uterus is not identified. Bone
windows demonstrates no suspicious lytic or blastic lesions.

IMPRESSION:

1. Small bowel obstruction with transition point in the mid ileum.
There is wall thickening involving the ileum just distal to the
transition point for approximately 15 to 20 cm. This is nonspecific,
possibly either infectious or inflammatory (such as in Crohn's
disease).

2. There is a small amount of free fluid surrounding some of the
dilated loops and there is a small amount of free pelvic fluid.