“Waste” of a CT Scan

M Alsayid, V Kotwal. Clin Gastroenterol Hepatol 2022; DOI:https://doi.org/10.1016/j.cgh.2021.06.030. Open Access: Chronic Constipation With Fecal Stasis

A 50 year old with a history of abdominal distention for a week and chronic constipation had a CT with intravenous contrast. Ultimately he had a disimpaction under general anesthesia and a flexible sigmoidoscopy.

My view: A complete examination with digital rectal exam (if feasible) or an AXR would have been sufficient for diagnosis.

Blog note: Link for We Can’t Wait App updated in yesterday’s post.

1 thought on ““Waste” of a CT Scan

  1. 1. What was the indication for sigmoidoscopy? or was that just part of the clean out process?
    2. Was the CT a “request” from the patient and a consequence of the failed patient satisfaction concept?
    –doesn’t look like the article answers those questions

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