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What Does This X-ray Report Indicate?

Posted on Wed, 9 Nov 2016

Question: An xray (attached) revealed a calcified mass. Follow up CT said mass not visual-most likely fecalith. I have severe pain and cramps/spasms abdomimal. Whats next

Answered by Dr. Hari Charan Perigela (23 minutes later)

Brief Answer:
I prefer Diagnostic Laparoscopy.

Detailed Answer:
Hi
I saw the pic.
It looks like a mass with calcification.

I have seen many cases of faecolith, mostly causing Appendicitis. It doesn't look like that.

I prefer to do Laparoscopy, see the lesion and come to a conclusion. If it is freely XXXXXXX and resectable, I'd prefer to remove the lesion and send for histopathological examination.

For abdominal pain, I prescribe tablet containing Dicyclomine twice daily.

Please consult a Laparoscopic surgeon, get examined and proceed accordingly.
Hope I answered your query. If you have any questions, I will clarify further.

Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Hari Charan Perigela (12 hours later)

Is it suprising the mass isnt visual with CT? Is there a chance it could have been fecal matter that I passed?

Answered by Dr. Hari Charan Perigela (24 minutes later)

Brief Answer:
It could be a possibility.

Detailed Answer:
Hi
A large faecolith should be seen in CT scan.
If it is a feacolith and is not seen in CT,it might have passed per rectally.
You can ask for an Ultrasound abdomen where there is no radiation. It can give a clue or repeat Plain xray abdomen.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Prasad