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Re: pelvic fluid upon ultrasoundFrom: George M. Grunert (grunert@ICSI.Net)Mon Mar 31 07:57:22 1997
> Wonder if anyone has any data or opinions regarding the finding of > pelvic fluid with ultrasound and it's positive predictive value for > fluid or blood. My impression was that the finding of fluid had a > fairly high false positive rate especially in trying to diagnose > hemoperitoneum. And certainly isn't any more accurate than clinical > diagnosis. Please enlighten me or corroborate. > Ultrasound can usually demonstrate free intraperitoneal fluid and give a good estimate of volume. Some appearances - "cob-web, snowstorm, and fish-scale" type echo patterns in the fluid are strongly suggestive of blood, more so than clear, anechoic fluid. Since you have to put the entire picture together, the ultrasound diagnosis of hemoperitoneum should be additive information and not the decisive factor in clinical management.
-- George M. Grunert, M.D. Director ART Program, Woman's Hospital of Texas 7550 Fannin Houston, TX 77054 713-512-7851 fax 713-512-7853 grunert@icsi.net
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