title: A feasibility study to evaluate pelvic peritoneal anatomy with a saline intraperitoneal sonogram (SIPS).
abstract: OBJECTIVE
  To prove the safety and feasibility of evaluating pelvic anatomy with a new imaging technique called saline intraperitoneal sonogram (SIPS).
  
  
  METHODS
  Prospective clinical case series.
  
  
  METHODS
  Outpatient fertility clinic.
  
  
  METHODS
  Ten women with unexplained infertility and normal hysterosalpingograms (HSG). Five women with no known risk factors and five women with known risk factors for adhesive disease were enrolled.
  
  
  METHODS
  Step 1 required performing a sonohysterogram. Step 2 involved directing a 17-g oocyte retrieval needle into a pocket of peritoneal fluid under ultrasound guidance and infusing normal saline. The pelvic anatomy was evaluated with the three-dimensional and four-dimensional mode on pelvic ultrasound.
  
  
  METHODS
  Technical feasibility, safety, time, fluid infusion, and deficit volumes.
  
  
  RESULTS
  All 10 patients successfully completed the protocol. One of the five women with no risk factors for adhesive disease and a normal HSG was discovered to have a unilateral hydrosalpinx and filmy adhesive disease on SIPS. Both findings were confirmed on laparoscopy. Three out of the five women with known risk factors had abnormal SIPS imaging and were confirmed on laparoscopy to have significant adhesive disease. The average procedure time was 45 minutes (±15 minutes).
  
  
  CONCLUSIONS
  This study demonstrates that SIPS is a safe, quick, and potentially cost-effective method for evaluating pelvic adhesive disease in an outpatient facility in women with unexplained infertility and a normal HSG.
authors.affiliation: Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina 27713, USA. anish.shah@duke.edu
authors.forename: Anish A
authors.initials: AA
authors.lastname: Shah
authors.forename: David K
authors.initials: DK
authors.lastname: Walmer
mesh_terms: D000328:Adult; D001202:Ascitic Fluid / Q000000981:diagnostic imaging; D019160:Endosonography / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007263:Infusions, Parenteral; D010388:Pelvis / Q000000981:diagnostic imaging* / Q000473:pathology; D010532:Peritoneal Diseases / Q000000981:diagnostic imaging / Q000473:pathology; D010537:Peritoneum / Q000000981:diagnostic imaging* / Q000473:pathology; D012965:Sodium Chloride / Q000008:administration & dosage; D000267:Tissue Adhesions / Q000000981:diagnostic imaging
chemical_list: D012965:Sodium Chloride