A member asked:

If done improperly, can a transvaginal ultrasound cause a perforation which could result in free-air in the abdomen?

9 doctors weighed in across 2 answers
Dr. Dale Kristle answered

Specializes in Gynecology

In theory only: have never seen or heard of it in over 30 years. perhaps if ultrasound was done shortly after a hysterectomy and opened the cuff. would think it would require considerable force.

Answered 4/5/2016

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Dr. Peter Bream answered

Specializes in Radiology

Not likely: Free air in the abdomen usually represents a perforated bowel and can constitute a surgical emergency. However, there are non life threatening causes of free air. In Italy, they use a technique of injecting air and saline into the uterus to test patency of the fallopian tubes. This could cause free air. A standard diagnostic ultrasound should not.

Answered 7/22/2014

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