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British Journal of Radiology (1995) 68, 1364-1366
© 1995 British Institute of Radiology
doi: 10.1259/0007-1285-68-816-1364

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An evaluation of the routine use of rectal air in computed tomography of the pelvis

B Walkden, FRCR 1 S C Ward, FRCR 2 and C Metreweli, FRCR 3

1 Department of Radiology, Poole Hospital NHS Trust, Longfleet Road, Poole, Dorset, UK 2 Department of Radiology Hull Royal Infirmary, Kingston-upon-Hull, UK 3 Department of Diagnostic Radiology and Organ Imaging, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong

We have performed computed tomographic examinations of the pelvis in 50 patients, using rectally administered air to outline the rectosigmoid colon. Bowel cleansing was not performed and smooth muscle relaxants were not used. The procedure was well tolerated by all patients, and diagnostic images were obtained in all cases. There were no complications. This is a safe, low cost and easily administered form of bowel contrast. We recommend it as the technique of choice in routine pelvic computed tomography.

Received for publication March 27, 1995. Revision received June 26, 1995. Accepted for publication August 7, 1995.







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