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1. Rule out

FLOP

FL

uid in abdomen?

O

rgan

P

erforation?

FL

OP

Institute of Oncology Ljubljana

Uterine perforations

Up to ≈ 5-10 %!

Irwin W, et al. Gynecol Oncol 2003

Sharma DN, et al. Gynecol Oncol 2010

Davidson MTM, et al. Brachytherapy 2008

MIlman RM, et al. Clin Imaging 1991

Jhingran A, Eifel PJ. IJROBP 2000

Barnes EA, et al. Int J Gynecol Cancer 2007

Lanciano R, et al. IJROBP 1994

Sahinler I, et al. IJROBP 2004

Irwin W, et al. Gynecol Oncol 2003

MIlman RM, et al. Clin Imaging 1991

Van Dyk S, et al. IJROBP 2009

Granai CO, et al. Gyn Oncol 1984

Segedin B, et al. Radiol Oncol 2013

US guidance!