|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Lost IUDFrom: ainsron (ainsron@sbcglobal.net)Mon Mar 26 17:27:07 2007
I would do a flat plate first, if you don't see it there, you aren't going to find it on laparoscopy. Did she ever check the string after insertion? It probably went down the toilet. Saw a great commercial on the new Kohler toilets the other night. A guy saw a good looking plumber (female) next door and tried to plug up his Kohler toilet with anything he could throw (towels, coins, etc.) in it. Nothing worked, so she got away. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Monday, March 26, 2007 4:16 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: Lost IUD 25 YO P1001 with a Mirena of around one year's duration, came in for removal. No string seen, and on exploring the uterus with an IUD hook, well, no IUD found. Ultrasound did NOT find her IUD, so it is lost. I have recommended H-scope/lapscope to find it, but she has asked about having a CT first. Actually, I hadn't thought of that, and it seems that a plain X-ray may be even the better first choice. My real questions is: Is there any role for imaging? My instinct says we simply need to go to the OR, as she couldn't have expelled it and not known it, I wouldn't think. That said, if it is up under her diaphagm. . . Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:46:14 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.