Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does Filling Defect In The Cecum Indicate?
Posted on
Fri, 17 Oct 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 17 Oct 2014
Answered on
Mon, 3 Nov 2014
Last reviewed on
Question : I had a CT scan that showed a filling defect in the cecum. Can you tell me what this might be? I am scheduled for a diagnostic colonoscopy on Monday, but would like to know more.. ..
Brief Answer:
Inverted/mass/tumors of cecum...
Detailed Answer:
Hi,
Cecum is the first part of large bowel, directly connected with distal part of intestines.
The filling defect noted in the ct-scan of cecum is suggestive for possible:
-inverted cecum
- mass
- rare tumors
I need to have the full CT-scan report for more specific judgement.
Dr.Sejdini
Inverted/mass/tumors of cecum...
Detailed Answer:
Hi,
Cecum is the first part of large bowel, directly connected with distal part of intestines.
The filling defect noted in the ct-scan of cecum is suggestive for possible:
-inverted cecum
- mass
- rare tumors
I need to have the full CT-scan report for more specific judgement.
Dr.Sejdini
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I can't get the copy of the ct to you.... what do you mean by "mass" and what are "rare tumors'?
Brief Answer:
Lipoma,adenoma/polyps...
Detailed Answer:
Hi back,
If you can't get the copy, can you please right down the full report of Ct-scan. I do not precipitate in my judgement. The size and ability to move of the defect is important to identify the nature of the projection.
With regards to "mass" or "rare tumors", I'm referring to lipoma, adenomas or polyps. They are usually benign and rare entities in this part of colon. That's why I need to know the full Ct-scan report.
Dr.Sejdini
Lipoma,adenoma/polyps...
Detailed Answer:
Hi back,
If you can't get the copy, can you please right down the full report of Ct-scan. I do not precipitate in my judgement. The size and ability to move of the defect is important to identify the nature of the projection.
With regards to "mass" or "rare tumors", I'm referring to lipoma, adenomas or polyps. They are usually benign and rare entities in this part of colon. That's why I need to know the full Ct-scan report.
Dr.Sejdini
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I wasn't told any more than just the "filling defect in the cecum." I guess I will have to wait for the colonoscopy on Monday. . .
Does the osmolality of the stool electrolytes tell you anything?
Also, I have had severe diarrhea for 3 months and now have pain (2/10) in the RLQ of abdomen. I had an appendectomy in 1974 and a C-section in 1997. No other abdominal surgeries.
All the other stool cultures were negative.
Other than the hypokalemia, by other labs were alright. . . no anemia, etc. There was a rare WBC in a stool test. C-diff, etc were all negative.
Does the osmolality of the stool electrolytes tell you anything?
Also, I have had severe diarrhea for 3 months and now have pain (2/10) in the RLQ of abdomen. I had an appendectomy in 1974 and a C-section in 1997. No other abdominal surgeries.
All the other stool cultures were negative.
Other than the hypokalemia, by other labs were alright. . . no anemia, etc. There was a rare WBC in a stool test. C-diff, etc were all negative.
Brief Answer:
Test to determine why you are having diarrhea...
Detailed Answer:
Hi back,
Thank you very much for your follow up queries.
1. Colonoscopy will help determining the nature of the filling defect.
2. You are reporting to have severe diarrhea for the past 3 months. Measuring the stool osmolality would help in diagnosing why your stool is not having a solid consistency.
With regards to the osmalility you are mentioning, I need to have the reference range of your lab. Generally speaking, such osmolality is indicating possible secretory causes of your diarrhea including:
- inflammatory bowel disease
- bile acid malabsorption
- medications including: anthraquinones, phenolphthalein, bisacodyl,etc.
- tumors
As long as stool cultures were negative, then, infectious diseases are ruled out.
3. There are many of my patients with persistent diarrhea that have reported to be using laxatives abusively. If you have been using laxatives prior to diarrhea, should report this to your doctor.
4. You are reporting to have had appedectomy and C-section many years ago. This makes me think over possible reorganization of connective tissue there (surgery mark) that might stimulate a false filling defect. Colonoscopy will determine the nature of this filling by looking inside the mucosa of the colon.
All the best!
Dr.Sejdini
Test to determine why you are having diarrhea...
Detailed Answer:
Hi back,
Thank you very much for your follow up queries.
1. Colonoscopy will help determining the nature of the filling defect.
2. You are reporting to have severe diarrhea for the past 3 months. Measuring the stool osmolality would help in diagnosing why your stool is not having a solid consistency.
With regards to the osmalility you are mentioning, I need to have the reference range of your lab. Generally speaking, such osmolality is indicating possible secretory causes of your diarrhea including:
- inflammatory bowel disease
- bile acid malabsorption
- medications including: anthraquinones, phenolphthalein, bisacodyl,etc.
- tumors
As long as stool cultures were negative, then, infectious diseases are ruled out.
3. There are many of my patients with persistent diarrhea that have reported to be using laxatives abusively. If you have been using laxatives prior to diarrhea, should report this to your doctor.
4. You are reporting to have had appedectomy and C-section many years ago. This makes me think over possible reorganization of connective tissue there (surgery mark) that might stimulate a false filling defect. Colonoscopy will determine the nature of this filling by looking inside the mucosa of the colon.
All the best!
Dr.Sejdini
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
