72193 Computed tomography, pelvis; with contrast material(s)

Name of the Procedure:

Computed Tomography (CT) Scan of the Pelvis with Contrast Material

Summary

A Pelvic CT scan with contrast is an advanced imaging procedure that uses X-rays and a special dye to create detailed pictures of the pelvic region. The contrast dye makes structures and organs in the pelvis more visible on the scan.

Purpose

A pelvic CT scan with contrast helps diagnose conditions such as tumors, infections, or injuries within the pelvic area. It provides a clearer and more detailed view of the pelvic organs, blood vessels, and bones. The goal is to identify the underlying cause of pelvic pain, swelling, or other abnormalities.

Indications

• Unexplained pelvic pain
• Suspected tumors or cancers
• Infections in the pelvic region
• Trauma or injury to the pelvic area
• Abnormal results from other tests or imaging studies
• Assessment of pelvic blood vessels

Preparation

• Patients may be requested to fast for a few hours before the scan.
• Inform the doctor of any allergies, especially to iodine or contrast materials.
• Discuss any current medications or medical conditions.
• Pre-procedure blood tests may be required to evaluate kidney function.

Procedure Description

1. The patient lies on a movable table.
2. An intravenous (IV) line is inserted into a vein to administer the contrast dye.
3. The table slides into the CT scanner, a large, doughnut-shaped machine.
4. The patient may have to hold their breath at times to avoid blurring the images.
5. Multiple X-ray images are captured from different angles to create a comprehensive picture of the pelvic area.

Duration

The procedure typically takes about 30-60 minutes, including preparation time.

Setting

Pelvic CT scans are usually performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologist: A doctor who specializes in interpreting medical images.
• Radiologic technologist: A technician who operates the CT scanner and assists the patient.

Risks and Complications

• Allergic reaction to the contrast dye (rare).
• Kidney damage from the contrast dye (in patients with existing kidney issues).
• Exposure to a small amount of radiation.
• Rare complications such as infection at the IV site.

Benefits

• Provides detailed images that aid in accurate diagnosis.
• Helps guide treatment plans with precise information.
• Non-invasive and generally quick.

Recovery

• Patients can usually return to normal activities immediately.
• Instructions to drink plenty of fluids post-procedure to help flush out the contrast dye.
• Follow-up appointments may be scheduled to discuss the results.

Alternatives

• Ultrasound: Less detailed but involves no radiation.
• MRI: Provides detailed images using magnetic fields and radio waves, useful for patients allergic to contrast dye.
• Plain X-rays: Quick and accessible but offer less detailed images.

Patient Experience

During the procedure, the patient might feel a warm sensation when the contrast dye is administered. Lying still can be somewhat uncomfortable but is necessary for clear images. Post-procedure, patients may feel slight discomfort at the IV site, which typically resolves quickly. Pain is minimal, and sedation or anesthesia is usually not required.