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Re: Bilateral dermoids From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Wed Mar 7 13:05:04 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Bilateral dermoids" Previous message: DoctorJoe@aol.com: "Re: Dr. Siegel re: pre eclamptic patient" In reply to: R. Daniel Braun: "Re: Bilateral dermoids" Next in thread: R. Daniel Braun: "Re: Bilateral dermoids" Reply: R. Daniel Braun: "Re: Bilateral dermoids" Reply: Dr Eberhard Lisse: "Re: Bilateral dermoids" Good. I think I did what the majority would have done. I shelled the cysts out...not too gracefully mind you, but they came out none the less. I really did have a suspicion that they were dermoids based on the yellowish fluid I could feel within them. One of the ovaries had a section that as has been mentioned here before, looked 'angry'. I just couldn't leave it in place and hope it resolved. I went to try and take a sample for path and got in to the cyst and realized then that my suspicion was correct. There was a large amount of sebaceous material and hair and the Rokitansky's nodule or a similar nodule of hard tissue. The nurses, techs and anesthesia were in awe, and I just felt under the gun as I knew her spinal was ticking away quickly. In a brief medline and google search I couldn't find anything written on the management of bilateral dermoids found incidentally at the time of c-section. Thanks for the input. Glen Footnote-I wrapped both ovaries in intercede after irrigating copiously, just in case. //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. -- ________________________________ Daniel Braun Sent: Wednesday, March 07, 2007 6:44 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Bilateral dermoids Shell the cysts out of each ovary while you are in there. Dan On 3/7/07, Elrod, Darryl G Maj 48 MDOS/SGOBO <Darryl.elrod@lakenheath.af.mil> wrote: I have just gotten out of the OR with a 26 yo G1 at 39 wks that had a c-section for failure to progress. At the time of the c-section the ovaries were both found to be enlarged to 8-9cm. Neither had previously been noted on her early OB sono nor her anatomy scan at 22 weeks. By the appearance of the fluid seen through the cyst wall my suspicion was that this represented bilateral dermoid cysts. What are the management options with this patient and which would you choose and why? (Then I'll tell you what I did-right or wrong) Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -- R. Daniel Braun, MD FACOG(L) CMT Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine R. Daniel Braun "The way to health is an aromatic bath and scented massage everyday". Hippocrates Next message: art fougner, md: "Re: Bilateral dermoids" Previous message: DoctorJoe@aol.com: "Re: Dr. Siegel re: pre eclamptic patient" In reply to: R. Daniel Braun: "Re: Bilateral dermoids" Next in thread: R. Daniel Braun: "Re: Bilateral dermoids" Reply: R. Daniel Braun: "Re: Bilateral dermoids" Reply: Dr Eberhard Lisse: "Re: Bilateral dermoids"

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