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!