Is this diastasis? Does anyone know if these images indicate ab separation? (Photos)

Question

Hello. I have a bulging stomach so my doctor ordered a CT scan but won't go over the results with me. I don't think he knows how to read them. Is there a particular specialist who can or does anyone know if these images indicate ab separation? Thanks!

Vincent Gardner, MD · Answer

Hi Helpful5906,
I think you're looking for a radiologist. Having said that a CT scan may not be helpful in the determination of a diastasis or separation of your abdominal wall muscles. It is a great study and provides a wealth of information but it is performed while lying down so there is no pressure on the abdominal wall....so it could miss a subtle widening of the rectus (abdominal wall) muscles. Also, the images you included do not show the area in question but other images may be more helpful. If you are worried about a DR then an ultrasound exam in the standing position would likely be the most helpful test....aside from a good physical exam! I recommend finding a surgeon that does a lot of abdominoplasties. They will perform a good physical exam and evaluate your cosmetic needs. I hope this helps! Good luck.

Sean Satey, MD, FACS · Answer

The CT images you provided are merely a snapshot of the scout film (first two pictures), image of the hear and lung, and another which demonstrates a side view - none of which will demonstrate the presence of a diastasis recti. I'd recommend that you either reach out to your surgeon directly, or the imaging facility that obtained the images. Often times, they will have a radiologist review the images and provide a detailed report (to your surgeon). Overall, however, diastasis recti presence is often times a clinical diagnosis which does not require imaging. I'd be happy to review this with you. Best, Dr. Satey.

David Parizh, DO · Answer

Despite being able to confirm with imaging rectus diastasis can be diagnosed on examination. The images you have above do not show sufficient views to answer your question. My advice is to go to a board certified plastic surgeon who can sit down with you, perform an exam and review imaging as needed.

Camille Cash, MD · Answer

I'm sorry that you are having issues getting the results from your CT scan.  Typically the radiologist writes a report of the findings after the scan is completed and forwards this report to the ordering physician.  If you can't find a way to get the information from your physician you may try the facility where the exam was completed and talk to the radiologist.

Daniel Barrett, MD · Answer

Dear Helpful5906,
it is impossible to tell you is there diastasis recti without looking at the whole CT scan and not only two slices. Radiologists can describe the findings in detail. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Is this diastasis? Does anyone know if these images indicate ab separation? (Photos)

Answers (6)

Answer: CT scan

Answer: CT scan

Answer: Diastasis

Answer: Diastasis

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Is this diastasis? Does anyone know if these images indicate ab separation? (Photos)

Answers (6)

Answer: CT scan

Answer: CT scan

Answer: Diastasis

Answer: Diastasis

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Recommended reading

Everything you need to know about Diastasis Recti Repair

Our mission is to create a world where every investment in modern beauty is Worth It.