margaret fahy
Guru
Guys,
What would you use for this procedure?
: Fluoroscopic ostomy contrast study
Technique:
This exam was performed with low dose, pulsed fluoroscopy and
other dose reduction techniques when possible. Fluoroscopic time:
4.3 minutes, dose area product 13.5 DGy-cm2.
Water-soluble contrast was administered via the patient's
pre-existing red rubber catheter in the right lower quadrant
ostomy under fluoroscopic guidance, and images the bowel were
obtained.
Findings:
Scout radiograph demonstrates multiple air-filled, dilated loops
of small bowel in the right lower quadrant ostomy appliance.
Water-soluble contrast was administered in a retrograde fashion
into a markedly dilated loop of small bowel which contain debris.
The contrast was injected with ease and filled multiple dilated
loops of bowel. Images demonstrated a very distal region of
high-grade narrowing, surrounding the patient's catheter,
approximately 1.5-2 cm from the ostomy orifice.
The fluid and air were aspirated at the end of the examination.
The patient's catheter was left in place.
IMPRESSION
High-grade bowel obstruction with segmental narrowing of the
distal ileum, approximately 1.5-2 cm from the ileostomy orifice.
What would you use for this procedure?
: Fluoroscopic ostomy contrast study
Technique:
This exam was performed with low dose, pulsed fluoroscopy and
other dose reduction techniques when possible. Fluoroscopic time:
4.3 minutes, dose area product 13.5 DGy-cm2.
Water-soluble contrast was administered via the patient's
pre-existing red rubber catheter in the right lower quadrant
ostomy under fluoroscopic guidance, and images the bowel were
obtained.
Findings:
Scout radiograph demonstrates multiple air-filled, dilated loops
of small bowel in the right lower quadrant ostomy appliance.
Water-soluble contrast was administered in a retrograde fashion
into a markedly dilated loop of small bowel which contain debris.
The contrast was injected with ease and filled multiple dilated
loops of bowel. Images demonstrated a very distal region of
high-grade narrowing, surrounding the patient's catheter,
approximately 1.5-2 cm from the ostomy orifice.
The fluid and air were aspirated at the end of the examination.
The patient's catheter was left in place.
IMPRESSION
High-grade bowel obstruction with segmental narrowing of the
distal ileum, approximately 1.5-2 cm from the ileostomy orifice.