An abdominal CT scan is an imaging method. This test uses x-rays to create cross-sectional pictures of the belly area. CT stands for computed tomography.
Computed tomography scan - abdomen; CT scan - abdomen; CT abdomen and pelvis
You will lie on a narrow table that slides into the center of the CT scanner. Most often, you will lie on your back with your arms raised above your head.
Once you are inside the scanner, the machine's x-ray beam rotates around you. Modern spiral scanners can perform the exam without stopping.
A computer creates separate images of the belly area. These are called slices. These images can be stored, viewed on a monitor, or printed on film. Three-dimensional models of the belly area can be made by stacking the slices together.
You must be still during the exam, because movement causes blurred images. You may be told to hold your breath for short periods of time.
In many cases, an abdominal CT is done with a pelvis CT.
The scan should take less than 30 minutes.
You need to have a special dye, called contrast, put into your body before some exams. Contrast helps certain areas show up better on the x-rays. Contrast can be administered in various ways. Such as:
Let your health care provider know if you have ever had a reaction to contrast. You may need to take medicines before the test to safely receive this substance.
Before receiving the contrast, tell your provider if you take the diabetes medicine metformin. People taking this medicine may have to stop taking it for a while before the test.
Let your provider know if you have any kidney problems. The IV contrast can worsen kidney function.
Too much weight can damage the scanner. Find out if the CT machine has a weight limit if you weigh more than 300 pounds (135 kg).
You will need to take off your jewelry and wear a hospital gown during the study.
Lying on the hard table may be a little bit uncomfortable.
If you have contrast through a vein (IV), you may have:
These feelings are normal and go away within a few seconds.
An abdominal CT scan makes detailed pictures of the structures inside your belly very quickly.
This test may be used to look for:
The abdominal CT scan may show some cancers, including:
The abdominal CT scan may show problems with the gallbladder, liver, or pancreas, including:
The abdominal CT scan may reveal the following kidney problems:
Abnormal results may also be due to:
Risks of CT scans include:
CT scans expose you to more radiation than regular x-rays. Many x-rays or CT scans over time may increase your risk for cancer. However, the risk from any one scan is small. Most modern scanners are able to reduce the radiation exposure. Talk to your provider about this risk and the benefit of the test for getting a correct diagnosis of your medical problem.
Some people have allergies to contrast dye. Let your provider know if you have ever had an allergic reaction to injected contrast dye.
The most common type of contrast given into a vein contains iodine. If you have an iodine allergy, you may have nausea or vomiting, sneezing, itching, or hives if you get this type of contrast. If you must be given such contrast, your provider may give you antihistamines (such as Benadryl) or steroids before the test.
Your kidneys help remove IV dye from the body. You may need extra fluids after the test to help flush the iodine out of your body if you have kidney disease or diabetes.
Rarely, the dye may cause a life-threatening allergic response. Tell the scanner operator right away if you have any trouble breathing during the test. Scanners come with an intercom and speakers, so the operator can hear you at all times.
Kim DH, Pickhardt PJ. Diagnostic imaging procedures in gastroenterology. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 133.
Radiologyinfo.org. Computed tomography (CT) - abdomen and pelvis. Updated June 16, 2016. www.radiologyinfo.org/en/info.cfm?pg=abdominct. Accessed July 25, 2016.
Shaw AS, Prokop M. Computed tomography. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Diagnostic Radiology. 6th ed. New York, NY: Elsevier Churchill Livingstone; 2015:chap 4.