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Re: Gyn: Residual ovary/ovarian remnant? From: Andrew Folley (agfolley@hotmail.com) Tue Sep 19 11:54:54 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Surgical Prophylaxis for MVP" Previous message: ainsron: "Re: SUI postpartum" In reply to: Rafael Haciski: "Re: Gyn: Residual ovary/ovarian remnant?" Next in thread: Rafael Haciski: "Re: Gyn: Residual ovary/ovarian remnant?" Reply: Rafael Haciski: "Re: Gyn: Residual ovary/ovarian remnant?" I would not be so quick to operate. If she had no pain what would you do??? Make sure pain is not orthopedic or GI. Check CA 125. Observe the cystic structure. Her pain may very well be adhesive in nature and then perhaps a laparsocopy would be in order. ie if the pain persists. andy >From: Rafael Haciski <haciski@earthlink.net> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: Gyn: Residual ovary/ovarian remnant? >Date: Mon, 18 Sep 2006 20:00:10 -0500 > >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 >> > _________________________________________________________________ Search—Your way, your world, right now! -- _________________________________________________________________ http://imagine-windowslive.com/minisites/searchlaunch/?locale=en-us&FORM=WLMTAG Next message: Garry E. Siegel, M.D.: "Re: Surgical Prophylaxis for MVP" Previous message: ainsron: "Re: SUI postpartum" In reply to: Rafael Haciski: "Re: Gyn: Residual ovary/ovarian remnant?" Next in thread: Rafael Haciski: "Re: Gyn: Residual ovary/ovarian remnant?" Reply: Rafael Haciski: "Re: Gyn: Residual ovary/ovarian remnant?"

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