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Re: clinical problemFrom: Ultravas99@aol.comWed Jan 6 21:11:38 1999
I have been reading, with interest, the postings about possibly not obtaining a CT scan for the patient with a cul de sac abnormality. I would think that a CT of the abdomen and pelvis would be in order,for one thing to delineate the anatomy a little more clearly and for another thing to evaluate for any other findings such as liver metastases, ascites or possible pleural effusion. These are all things that can be seen by sonography as well. The bowel contrast during the pelvic and abdominal CT would help in delineating the bowel and the mass. Barium enema or sono enema would also help in the area of the rectum. I would think that these are things that a surgeon would want to know ahead of time, however, I am not a surgeon. I think that doing sonography for as long as I have though, that this would be the protocol at my place of employment. IMHO Kelly
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