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What Does This CT Scan Of Colon Indicate?

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Posted on Fri, 7 Nov 2014
Question: I had colonoscopy followed by a CT scan last week. The CT report shows this:
Probably mild irregular wall thickening of the rectosigmoid colon.
What does this mean? Is the word "mild" a good sign in this case?
doctor
Answered by Dr. Vivek Chail (59 minutes later)
Brief Answer:
Mild wall thickening usually benign condition

Detailed Answer:
Hi XXXXXXX,
Thanks for writing in to us.

I have read through your query in detail.
You have been given a report of probably mild irregular wall thickening of the rectosigmoid colon (distal part of large bowel).

A mild wall thickening is defined as less than 2 cm in thickness.

The common causes for such a thickening are usually benign like
Infectious enterocolitis. 
­Ulcerative colitis.
Crohn’s disease.
Radiation injury
 Ischaemia
Bowel edema in cirrhosis.
Submucosal haemorrhage.

The rare causes for mild thickening includes malignant conditions like
Adenocarcinoma
Lymphoma.

The biopsy report will confirm what it is but for the time being I would like to inform you that mild bowel wall thickening usually is a benign condition and might be accepted as good when considering a more wall thickening more than 2 cm which is usually seen in malignancy.

However the biopsy report remains the most important diagnostic information.

Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (44 minutes later)
Thank you so much for your easy-to-understand answer.
I have been experiencing some bleeding, which at first they thought was hemorrhoids, but apparently isn't. Would that still be consistent with the benign condition (seems to me that it could be either)
Thank you again.
doctor
Answered by Dr. Vivek Chail (4 minutes later)
Brief Answer:
Please find details below

Detailed Answer:
Hi XXXXXX,
Thanks for writing back with an update.

Bleeding is a symptom which occurs due to leak of blood in to the lumen of bowel. This follows a break in the small blood vessels in the wall.

This bleeding can occur after ulceration of the mucosal lining of bowel and is attributed to benign and malignant causes. If you have been experiencing bleeding after biopsy then it is from the wound created in the process.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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What Does This CT Scan Of Colon Indicate?

Brief Answer: Mild wall thickening usually benign condition Detailed Answer: Hi XXXXXXX, Thanks for writing in to us. I have read through your query in detail. You have been given a report of probably mild irregular wall thickening of the rectosigmoid colon (distal part of large bowel). A mild wall thickening is defined as less than 2 cm in thickness. The common causes for such a thickening are usually benign like Infectious enterocolitis.  ­Ulcerative colitis. Crohn’s disease. Radiation injury  Ischaemia Bowel edema in cirrhosis. Submucosal haemorrhage. The rare causes for mild thickening includes malignant conditions like Adenocarcinoma Lymphoma. The biopsy report will confirm what it is but for the time being I would like to inform you that mild bowel wall thickening usually is a benign condition and might be accepted as good when considering a more wall thickening more than 2 cm which is usually seen in malignancy. However the biopsy report remains the most important diagnostic information. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek