The value of the preoperative barium-enema examination in the assessment of pelvic masses.

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Abstract
The value of the Ba enema examination in the assessment of pelvic masses was studied in 44 patients. Findings from those Ba enema examinations and from pathological specimens from 37 patients who had malignant tumors and 7 patients who had endometriosis were retrospectively analyzed; this was undertaken to determine if the Ba enema examination is useful in differentiating extrinsic lesions with and without invasion of the colon. None of the 12 patients who had extrinsic lesions had any of the criteria that indicated bowel-wall invasion. These criteria included fixation and serrations of the bowel wall in all patients with invasion, and ulceration and fistulization in those patients who had complete transmural invasion. In patients with pelvic masses, the preoperative Ba enema examination may be useful to the surgeon in planning surgery and in preparing the patient for the possibility of partial colectomy or colostomy.

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