Explanation Of The Results Of Radiological Examination To Determine Appendicitis?
Hello doctor I want to ask Yesterday my brother underwent an appendicogram examination and the doctor’s reading said that: No visible contrast fills the appendix structure. No visible defect filling, additional shadow, indentation or narrowing of the lumen. Impression: Non-filling appendix, but the possibility of appendicitis has not been removed. Please explain from this doctor what should I do? Thank you
Hello Nana, thank you for the question.
Appendicogram is a form of radiological examination modality performed to assess the condition of the appendix (appendicitis). In this examination, the patient will be asked to take a number of contrast agents. The contrast substance will then flow to fill along the digestive tract. When this contrast agent fills the intestinal lumen, an X-ray is taken.
No contrast agents appear in the appendix means that no contrast substances enter the appendix cavity. Contrast does not enter the appendix, possibly due to an inflammatory process that causes the appendix cavity to narrow.
But it turns out to be obtained further picture that there is no narrowing of the appendix cavity and no mass (abnormal tissue) in the appendix.
So the radiologist suggested that, the possibility of inflammation of the appendix could not be ruled out. That is, the surgeon who treats you must adjust the patient's physical condition with the results of his radiological examination. If the patient's condition supports the diagnosis of appendicitis (appendicitis), the surgeon will make the diagnosis, even though the radiological picture is doubtful, because a patient's diagnosis is determined primarily by physical examination and patient interviews, radiological examination is only a diagnostic aid.
Please consult these results back to the treating doctor. That is all information that I can share. Regards.