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Re: Incarcerated uterus From: Rupak Ranjan Roy (rupakray@caltiger.com) Fri Jun 30 20:56:08 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rupak Ranjan Roy: "Re: Rupture uterus at 8 weeks after misoprostol" Previous message: Larry Glazerman: "Re: Going Bare on Malpractice Insurance" Maybe in reply to: Jane Helwig, MD: "Incarcerated uterus" Next in thread: fuf: "Re: Incarcerated uterus" Reply: fuf: "Re: Incarcerated uterus" What about leaving things for a bit and allowing the uterus to grow out of the pelvis? Few hours in a day spent in the prone position may help. -- Rupak Ranjan Roy MRCOG >----- Original Message ----- From: Jane Helwig, MD <jane@seasonedsystems.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: 01 July 2000 10:09 Subject: Incarcerated uterus > G3P2 at 11 weeks presents with urinary retention. She says this > happened in each of her previous pregnancies and both times her OB > pushed on her uterus from below to resolve the problem. On exam, the > uterus is so retroflexed as to be almost horizontal, with the cervix > under the symphysis. Foley was inserted for 24 hours and urinary > retention has resolved. > > I tried to push the uterus up vaginally while the patient was in > lithotomy position and again while she was in knee-chest position, but > didn't feel any change in its position. > > Questions for those who have successfully pushed the uterus up, with or > without anesthesia: could you tell from movement of the uterus that you > had succeeded? Did you monitor with ultrasound? How did you know it > worked? > > Since she's now asymptomatic, do I need to do anything more? If urinary > retention or pain returns, I have Plans B, C, D: pushing from below > rectally, pushing from below under spinal anesthesia, colonoscopy a la > recent article. Don't have any elemental mercury on hand for Plan E. > > Any comments? > > -- > Jane Helwig, MD, FACOG > Private practice > Nassawadox, VA > Next message: Rupak Ranjan Roy: "Re: Rupture uterus at 8 weeks after misoprostol" Previous message: Larry Glazerman: "Re: Going Bare on Malpractice Insurance" Maybe in reply to: Jane Helwig, MD: "Incarcerated uterus" Next in thread: fuf: "Re: Incarcerated uterus" Reply: fuf: "Re: Incarcerated uterus"

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