Today I had an appointment with my gastroenterologist. He gave me my CT scan results. They showed a thickening of the colon wall in the cecum. What does that mean exactly? Can this cause pain? (I have had RLQ pain for months) He said something about terminal iliac disease? Or Crohn's? He wants to do another test of the small bowel. He has already done the upper GI and small bowel series. He said this test will show him more. I can't recall the name of it. He said it is similar to endoscopy and they use two kinds of contrast. Any clues as to what that might be? And if you know...could you explain the procedure? Thanks.
Thickening of the cecum on CT scan may be related to an inflammatory process or may not mean anything. If you look at Doug's response to your post, he is probably correct in suggesting that the test your doctor may be recommending is a small bowel enteroclysis (dedicated small bowel series). In this test a tube is introduced into the small intestine and air and contrast is placed into this tube. This gives better definition to the lining of the small intestine and can provided clearer images of the terminal ileum (last portion of the small intestine; often involved in Crohn's disease). On the other hand, another test that may be helpful in defining the cecum would be a colonoscopy. In this test a tube with a light and video camera is introduced into the rectum and advanced throughout the large intestine. In a majority of cases the terminal ileum can also be intubated. Biopsies (tissue samples) taken from this area may help diagnose an inflammatory process if present. Furthermore, with a colonoscopy one can directly visualize the colonic mucosa (lining). I hope you find this information helpful.
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*Keywords: CT scan, thickening of cecum, evaluation
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