Re: Vaginal Cuff Evisceration
From: R. Daniel Braun (rd.braun@gmail.com)
Tue Jun 28 11:39:14 2005
Right on! Jim.
On 6/28/05, art fougner, md <evsono@pipeline.com> wrote:
>
> Baddest man in the whole damn town!
>
> art
>
> At Tue, 28 Jun 2005, R. Daniel Braun wrote:
> >
> >Many years ago, we had a similar one. Except when we asked her who she ha
> >been having sex with, she replied "LeRoy!" We never did find LeRoy
> though.
> >
> > On 6/28/05, Atkinson, Samuel M <ATKINSONS@mail.ecu.edu> wrote:
> >>
> >> Many years ago on a Saturday afternoon a 16 yo came to the ED with the
> >> CC of vaginal bleeding. Esam revealed a perfectly clean, almost
> >> surgical, posterior colpotomy. I repaired it vaginally. In spite of
> >> negative x-rays (I didn't have MRI in the dark ages) I did explore her
> >> for a foreign body.
> >> She insisted she woke up bleeding and refused to tell me any more. As
> >> her family had no insurance, she came by weekly for mos to pay on the
> >> account. I offered to zero the account if she would tell me how it
> >> occurred. She only replied that "You are too young (and possibly the
> >> wrong race) to understand." I subsequently delivered her twice, tied
> >> her tubes and she never revealed the answer to my questions. The
> >> condition never recurred!
> >>
> >> -----Original Message-----
> >> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> Andrew
> >> Folley
> >> Sent: Monday, June 27, 2005 9:11 AM
> >> To: Multiple recipients of list OB-GYN-L
> >> Subject: Re: Vaginal Cuff Evisceration
> >>
> >> Over the weekend I had a 23 yo woman come in to ER with pelvic and
> >> abdomianl
> >> pain acute onset with cramping and vaginal bleeding. She had had a
> >> hsyterectomy by my partner in December 2004.
> >> (Severe endomietriosis pelvic pain etc) I examined her and she had a 2
> >> by 3
> >> cm. opening in her vaginal cuff at the site of closure. What is
> >> particularly
> >> bizarre is that she had a similar presentation in April about 8 weeks
> >> previously. She had signs of acute abdomen then and was explored by
> >> surgery
> >> with large midline abdominal incision and found to have a "abdominal
> >> /vaginal " perforation or opening in cuff. It was repaired abdominally
> >> by
> >> her original GYN at that time. I could put 2 fingers into the cuff
> >> opening
> >> and visualize small bowel through tht vagina although it had not
> >> prolapsed
> >> through the cuff. WBC and Hb normal. he denies any unusual sexual
> >> practices. No durgs smoking, no steroids, no diabetes, weighs 130
> >> pounds.
> >> What would you do now?? andrew
> >> >
> >>
> >R. Daniel Braun
> >Kinky for Governor
> >
>
> --
> art fougner, md
>
> "If you don't know where you are going, you will wind up somewhere else."
> Lawrence Peter Berra
>
--
R. Daniel Braun
Kinky for Governor
