Re: sidua post abortem

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Thu Mar 25 17:54:05 2004


At Thu, 25 Mar 2004, Romana Dmitrovic wrote: >
>Is it possible to avoid another curettage in an infertile patient who is
>diagnosed with residual tissue two weeks after the first curettage was
>performed for blighted ovum? The size of the residual tissue as seen on
>the ultrasound is 20x10x10 mm and her beta HCG is 1100. She is not
>bleeding and feels OK.
>
>--
>Romana Dmitrovic, MD
>Department of Reproductive Endocrinology
>University Hospital "Sveti Duh"
>Zagreb, Croatia
>

Yes wait and follow B HCG to -ve, only repeat curettage if patient has fever or heavy bleeding. If pathology did not show trophoblast then think ectopic. 20X10X10 residual tissue could be blood clot.

--
                                 Take care, John




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