CE CT Fistulogram (Contrast-Enhanced CT Fistulography) in Gurgaon @Scan4Health
Also Known As:
CT Sinogram / Fistulogram
Contrast-Enhanced CT for Fistula Mapping
CECT Fistulography
Achieve absolute diagnostic precision with Scan4Health Gurgaon’s CE CT Fistulogram. This specialized imaging procedure is designed to map a fistula—an abnormal, tunnel-like connection between two internal organs or between an internal organ and the skin surface. Fistulas often occur as a result of chronic inflammation (like Crohn's disease), infection, congenital disabilities, or previous surgical complications.
Unlike a standard CT, which provides a general overview, a Fistulogram involves a "dual-contrast" approach. A radiopaque contrast medium is carefully injected directly into the external opening of the fistula tract using a fine catheter, while a second contrast agent is administered intravenously (IV). This method allows our radiologists at the Sector 65 facility to trace the exact "tunnel" and see how it interacts with nearby blood vessels, muscles, and organs. At Scan4Health Gurgaon, we use 3D reconstruction to provide your surgeon with a precise "GPS map" essential for successful surgical repair and preventing recurrence.
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How to Prepare for CE CT Fistulogram (Contrast-Enhanced CT Fistulography) in Gurgaon
- Fasting Requirements: You are required to fast (no solid food or colored beverages) for at least 4 to 6 hours before the scan. This is a safety measure for the IV contrast administration. Plain water is permitted.
- Kidney Function Test (Serum Creatinine): Please provide a recent Serum Creatinine report (within the last 30 days). This ensures your kidneys can safely process the IV contrast dye.
- Area Preparation: Please do not apply any heavy creams, powders, or ointments to the skin opening on the day of the test. Our clinical team will sanitize the area before the procedure.
- Allergy Disclosure: Inform the Scan4Health team if you have a known allergy to iodine or X-ray contrast.
- Remove Metal Objects: Depending on the fistula's location (e.g., perianal, abdominal), you may be asked to remove jewelry or clothing with metal fasteners from that specific region.
- Medication Review: If you take Metformin for diabetes, you may need to pause it for 48 hours following the test.
- Post-Scan Care: Plan to drink 8–10 glasses of water for 24 hours after the test to help your kidneys flush out the contrast media.
Clinical Significance and Utility
The CE CT Fistulogram at Scan4Health Gurgaon is a vital tool for managing complex surgical and inflammatory cases:
Key clinical uses include:
- Tracing Complex Pathways: It identifies whether a fistula is a simple straight tube or a complex, branching network (common in perianal fistulas).
- Organ Involvement: The scan determines whether the tract connects to the bowel, bladder, or vagina, which is critical for selecting the appropriate surgical approach.
- Identifying Abscesses: It can locate hidden pockets of infection (abscesses) that may be feeding the fistula.
- Vascular Proximity: By using IV contrast simultaneously, the scan shows the tract’s proximity to major blood vessels, helping surgeons avoid these areas during treatment.
- Surgical Blueprinting: Provides a 3D model that acts as a blueprint for fistulotomy or fistulectomy surgeries, reducing the risk of accidental damage to nearby structures.
Reporting Time: Same Day*
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Frequently Asked Questions
Is the injection into the fistula tract painful?
Most patients describe it as a sensation of "pressure" or "fullness" rather than sharp pain. Our staff performs the injection slowly and carefully to minimize discomfort.
Why do I need an IV injection and an injection into the tract?
The injection into the tract reveals the tunnel's pathway. The IV injection shows the surrounding anatomy (vessels and organs). Together, they show exactly where the tunnel is located in relation to everything else.
How is this different from a regular CT scan?
A regular CT scan might show inflammation, but it cannot clearly see the "hollow tunnel" of a fistula. A fistulogram "fills" the tunnel with dye, making its entire length visible on the screen.
Can I drive home after the procedure?
Yes. The procedure is minimally invasive and does not involve sedation. You will be able to return to your normal routine immediately.
How long does the procedure take?
The entire process, including cleaning the area, placing the catheter, and performing the scan, usually takes 45 to 60 minutes.
Scan4Health Advantage
🌟 Cutting-Edge Technology
👩⚕️ Expert Care Team
⚡ Swift and Accurate Results
☢️ Low Radiation Exposure
💬 Free Consultation
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(Ph: +91 9910-8862-00)

