What shows CT scan of the pelvic organs?
The pelvis is the localization of important organs in men and women. Due to the close location of the organs inside the pelvis, symptoms often do not give the opportunity to accurately establish the cause. Help to make an accurate diagnosis of the hardware methods, one of the most informative among them is a computer tomography of organs of small pelvis.
In women in the pelvis are the main reproductive organs: the uterus and its appendages, and the vagina. In addition to the reproductive organs, in the pelvis is the bladder, sigmoid and rectum. In men the pelvic cavity is the bladder, sigmoid and rectum, and also prostate gland, seminal vesicles and deferent ducts. Also in the pelvis are the major arteries, veins, nerves, lymph nodes are located.
During the study, the patient lies on the back, and the unit conducts a detailed scan of the body without penetration through the skin (non-invasive). The examination is painless and lasts, depending on the type of tomograph from five to fifteen minutes.
As a rule, the study is performed with contrast, so directly before the examination the patient into a vein administered contrast agent. Some techniques assume before the procedure, contrast the execution of native CT (without contrast). In this case, the study will be divided into two parts: after a normal scan the unit will turn off and the medical staff will make intravenous administration of the contrast agent, after which CT will continue.
What are the diseases of a small basin allows identifying computed tomography?
KT informative in almost all pathological processes in the pelvis.
Pathology of the reproductive system in women
- inflammatory diseases of uterus, ovaries, fallopian tubes, vagina;
- anomalies of development of genitals;
- the obstruction of the fallopian tubes;
- benign and malignant tumors of the ovaries, uterus and fallopian tubes;
- purulent processes.
Pathology of the genital organs in men
- inflammation of the prostate;
- benign prostatic hyperplasia;
- prostate cancer;
- inflammation of the spermatic cord and seminal vesicles.
Pathology of the urinary system
For detailed pathology of the bladder is conducted additional training for the study: the bladder is filled with air or liquid. If the research is conducted in regular mode, with no special bladder filling, some pathologies may not be visible, but even when using a standard CT study shows bulk large size processes as well as large rentgenpozitivee stones and inflammation in the wall of the bladder and ureters.
Pathology of the rectum
For the diagnosis of abnormalities of the rectum CT scan is the most accurate method is usually used in proctology endoscopy (sigmoidoscopy, colonoscopy) and barium enema (an x-ray with contrast). However, during the CT scan will be visible to large tumors of rectum and sigmoid colon, adhesions, and pus formation in the fat layer around the gut (paraproctitis).
The advantage of CT is that it can help to identify cancer of any localization in the small pelvis, as well as set the stage: germination in adipose tissue, peritoneum, adjacent organs and lymph nodes. Used computer diagnostics and to assess the effectiveness of surgical treatment of tumors, radiation and chemotherapy. Also with the help of CT it is possible to determine postoperative complications.
During the CT scan of the pelvis can determine pathological changes in the vessels of small pelvis and damage nerves. Highly informative has a CT scan in trauma, allowing to identify complex plane fractures, torn ligaments and muscles, bruises and hemorrhages in organs and body fat.
Contraindications to the study
Radiographic, including CT, is contraindicated in pregnant women, women during lactation and children. Procedure with enhancement is not carried out in allergic reactions to contrast agents of serious diseases of kidneys, thyroid and diabetes.
Large people with severe obesity may not fit in the MRI scanner, the study is contraindicated in acute psychiatric disorders.
How to prepare for the exam?
As during study part of the intestine will be in the area of scan preparation is necessary to eliminate the high gas content in it, which may hamper image interpretation. To do this, within three days can not eat foods that stimulate gas production: bread, buns, sodas, chips, beans and green vegetables, dairy products. If the flatulence was still worried, two hours before the test can be taken Smectite Drops or in recommended doses.
Since CT is typically performed with contrast, prior to the examination after not eating for five hours. It is desirable that during the procedure the bladder was filled with urine, so the quality of training for two hours before the examination it is necessary to drink plain carbonated water and not to urinate.