| How much free fluid can a pregnant patient have? Assessment of pelvic free fluid in pregnant patients without antecedent trauma. | |
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MedLine Citation:
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PMID: 21817979 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: : The amount of free fluid that can normally be present in a pregnant patient is unknown. Evaluation of pelvic free fluid in a population of pregnant patients without early history of trauma would help determine what amount of free fluid should raise suspicion of intra-abdominal injury in those who have suffered trauma. METHODS: : Patients presenting for routine obstetric ultrasound without an early history of trauma were offered participation in the study. Routine imaging of the cul de sac and ovaries was used for assessment of presence or absence of free fluid, with accompanying digitally recorded images. Depth of the fluid pocket was measured in millimeters. RESULTS: : Six of 89 patients successfully scanned were found to have free fluid in to the cul de sac for an occurrence of 6.7%. Four patients had free fluid present during the first trimester with subsequent resolution by the late first trimester or early second trimester. Two of these patients had an identifiable cause for free fluid, one with right ovarian hyperstimulation and the second with idiopathic theca lutein cysts. Two patients had isolated free fluid appearing in the third trimester. CONCLUSIONS: : These results suggest that the presence of pelvic free fluid in pregnant patients without antecedent trauma is very low. After blunt abdominal trauma, the presence of free fluid in the pelvis of a pregnant patient may not be physiologic, especially if there is >2 mm to 4 mm, and there is no history of ovarian hyperstimulation syndrome or other known associations. |
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Authors:
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Zareena J Hussain; Reinaldo Figueroa; Nancy E Budorick |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of trauma Volume: 70 ISSN: 1529-8809 ISO Abbreviation: J Trauma Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-08-05 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
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Languages: eng Pagination: 1420-3 Citation Subset: AIM; IM |
Affiliation:
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From the Departments of Radiology (Z.J.H., N.E.B.) and Obstetrics and Gynecology (R.F., N.E.B.), Stony Brook University Medical Center, Stony Brook, New York. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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