As surgeons become more proficient in the use of ultrasonography, studies1-4 continue to demonstrate its value in the examination of patients, especially those who are severely ill. As with any diagnostic test, however, the indications and the time needed to perform the test are essential factors to consider when validating its usefulness. In addition, training and proficiency in ultrasonography are important issues because it is a user-dependent modality and, therefore, its accuracy affects patient care.