GI Tract Printer-ready protocol

Abdomen and pelvis: Acute abdomen or suspected abcess

Specific Anatomic Region

Abdomen and Pelvis

Application

Acute abdomen or suspected abscess

Author

Fishman EK

Reference Source

Personal communication

Scanner Used

Siemens Somatom Plus 4

Injection Rate

2cc/sec

Contrast Volume and Type

100-110cc Omnipaque 350

Area Scanned

From diaphragm to symphysis pubis

Scan Delay

40-50sec

Length of Spiral (time)

30-40sec

Slice Thickness

5mm

Table Speed/Pitch

8mm/sec

Reconstruction Interval

5mm

3D Technique Used

None needed

Comment: 750cc of oral contrast is given in divided doses beginning approximately one hour prior to the study. Delayed scans may be useful in select cases. In cases of suspected pelvic abscess rectal contrast may prove useful to define the position of the rectum and sigmoid colon. We use a 3% Hypaque solution.

1A 1B Case 1: colon cancer

2A 2B Case 2: adenocarcinoma of the cecum presenting as a colonic intussuception

3A 3B Case 3: abscess in a patient with crohn's disease

4A 4B Case 4: small bowel obstruction due to carcinoma at the iliocecal valve

5A 5B Case 5: MAI infection in an AIDS patient

6A 6B Case 6: intra-abdominal abscess in a renal transplant patient