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Re: Gyn: Residual ovary/ovarian remnant? From: Rafael Haciski (haciski@earthlink.net) Mon Sep 18 19:59:23 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Gyn: Residual ovary/ovarian remnant?" Previous message: Lynn Montgomery, MD: "Fibroids" In reply to: Garry E. Siegel, M.D.: "Gyn: Residual ovary/ovarian remnant?" Next in thread: Andrew Folley: "Re: Gyn: Residual ovary/ovarian remnant?" Reply: Andrew Folley: "Re: Gyn: Residual ovary/ovarian remnant?" Bowel prep, catheterize the ureters, pelviscopy and whatever necessary: LOA, remnant resection etc. -- Rafael Haciski MD FACOG Palmetto, FL On Sep 18, 2006, at 6:02 PM, Garry E. Siegel, M.D. wrote: > 62 YO P2002 with a year or more of LLQ pain, including trouble raising > her left leg. Records including op notes and pahtology available. > > She was sent to the orthopedist to check out her left hip, and the MRI > showed a bilobed structure around 3 cm. in the left adnexal > reason--such as a lyphatic cyst or an adnexal one if the ovary was > present. An ultrasound done showed a 2.4 by 1.7 by 2.7 cm. cyst > similar to a simple ovarian one on the left side. > > Records: > > 1975 TVH, post. repair no significant pathology noted > 1978 lapscope, Right S and O by laparotomy with LOA. Pathology > confirms > ovary/tube removed--hemorrhagic corpus luteum. > 1983 lapscope, Left S and O by laparotomy with LOA. ditto on the > pathology. > 1992 lapscope with LOA--extensive between omentum and sigmoid/left > pelvic wall. "Uterus, tubes and ovaries noted to be absent." > > My suspicion is that the imaging abnormality is a cystic peritoneal > structure and/or adhesive disease, and she probably has recurrent > adhesive disease. I can't help but think of residual ovarian > syndrome, > and don't exactly know how to proceed at this point. A recent article > (Am Journal Ob/Gyn, Magtibay, in 2005) was in our ABOG Annual Board > Certification packet (2 of 3). > > For now, she's seeing a general surgeon, and we'll go from there. > I may > want to have her see a gyn oncologist, too, if surgery is > contemplated. > > Garry > Next message: R. Daniel Braun: "Re: Gyn: Residual ovary/ovarian remnant?" Previous message: Lynn Montgomery, MD: "Fibroids" In reply to: Garry E. Siegel, M.D.: "Gyn: Residual ovary/ovarian remnant?" Next in thread: Andrew Folley: "Re: Gyn: Residual ovary/ovarian remnant?" Reply: Andrew Folley: "Re: Gyn: Residual ovary/ovarian remnant?"

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