Injection of air or contrast into peritoneal cavity (separate procedure)
CPT4 code
Name of the Procedure:
Injection of air or contrast into peritoneal cavity (separate procedure)
Summary
This procedure involves injecting air or a contrast material into the peritoneal cavity, the space within the abdomen that houses various organs such as intestines, liver, and stomach. This is often done to enhance imaging results for diagnostic purposes.
Purpose
The aim is to improve the visibility of abdominal structures on imaging tests like X-rays or CT scans. This helps in diagnosing conditions such as abdominal pain, tumors, or blockages.
Indications
- Unexplained abdominal pain or swelling
- Suspected blockages in the intestines
- Tumors or abnormal growths in the abdomen
- Post-surgical complications like leaks or abscesses
Preparation
- Fasting for 6-8 hours prior to the procedure
- Possibly discontinuing certain medications as advised by the doctor
- Undergoing preliminary imaging tests such as ultrasound or basic X-rays
Procedure Description
- Preparation: The patient is asked to lie down in a sterile environment. The area where the injection will be administered is cleaned and sterilized.
- Anesthesia: Local anesthesia may be used to numb the injection site.
- Injection: Using a thin needle, the healthcare provider gently injects air or a contrast material into the peritoneal cavity.
- Imaging: Once the substance is injected, imaging tests like an X-ray or CT scan are performed immediately to capture enhanced images.
Duration
The entire procedure generally takes about 30 to 60 minutes.
Setting
This procedure is usually performed in a hospital's radiology department or an outpatient clinic equipped with imaging facilities.
Personnel
- Radiologist or interventional radiologist
- Radiologic technologist
- Nurse
- Sometimes an anesthesiologist for sedation, if necessary
Risks and Complications
- Mild discomfort or pain at the injection site
- Infection
- Allergic reaction to the contrast material
- Peritonitis (inflammation of the peritoneal cavity), although rare
Benefits
- Improved accuracy in diagnosing abdominal conditions
- Helps in planning appropriate treatment measures
- Results are often available within hours
Recovery
- Brief observation period post-procedure
- Mild discomfort might be managed with over-the-counter painkillers
- Normal activities can usually be resumed within a few hours to a day
- Follow-up appointments may be scheduled to discuss imaging results
Alternatives
- MRI scans without contrast
- Ultrasound imaging
- Plain X-ray, though it may be less detailed
Patient Experience
During the procedure, patients might feel slight pressure or mild discomfort from the injection. Afterward, there may be some temporary abdominal bloating or cramping, which usually subsides within a few hours. Pain management and comfort measures will be provided as needed.