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October 1965

Evaluation of Retrograde Pelvic Venography

Author Affiliations

From the Department of Surgery, Washington University School of Medicine. Assistant Professor in Surgery (Dr. Ternberg), and Professor in Surgery, (Dr. Butcher.)

Arch Surg. 1965;91(4):607-609. doi:10.1001/archsurg.1965.01320160061014

CONTRAST roentgenography of the large pelvic veins and the inferior vena cava was performed on 371 patients in the Mallinckrodt Institute of Radiology between 1958 and 1963 in an attempt to locate diseased lymph nodes, particularly those containing cancer. This study was undertaken to define the effectiveness of this radiological technique and the frequency of complications associated with it. The data indicate that this examination has little diagnostic value and is associated with a significant incidence of serious complications.

Methods and Material  The illnesses of the patients in whom venograms were performed are listed in Table 1. The venograms were made during the simultaneous injection of 50% diatrizoate sodium (Hypaque) through small intravenous catheters into both common femoral veins. Local anesthesia was used to introduce the catheters percutaneously.

Results  The majority of the patients examined had carcinoma of the cervix. The correlation of the venographic diagnoses and operative findings is

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