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Re: Gyn: Lost IUD From: Larry Glazerman (l.glazerman@rcn.com) Mon Mar 26 17:27:26 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rmodugno@aol.com: "Re: Gyn: Lost IUD" Previous message: ainsron: "Re: Lost IUD" In reply to: Garry E. Siegel, M.D.: "Gyn: Lost IUD" Next in thread: babycatchers@aol.com: "Re: Gyn: Lost IUD" Reply: babycatchers@aol.com: "Re: Gyn: Lost IUD" Garry: Why do you think she couldn't have expelled it? I'd do a flat plate (much cheaper, simpler than CT, and will give you the same info). If it's in the belly, consider laparoscopy, but it might be tough to find - you might want to do it with fluoro available. If it's not there, she expelled it. -- Larry R. Glazerman, MD, FACOG St. Luke's Center for Advanced Gynecologic Care 250 Cetronia Road Suite 305 Allentown PA 18104 484-223-3279 484-223-2830 FAX glazerl@slhn.org On Mar 26, 2007, at 7:15 PM, Garry E. Siegel, M.D. wrote: > 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 Next message: rmodugno@aol.com: "Re: Gyn: Lost IUD" Previous message: ainsron: "Re: Lost IUD" In reply to: Garry E. Siegel, M.D.: "Gyn: Lost IUD" Next in thread: babycatchers@aol.com: "Re: Gyn: Lost IUD" Reply: babycatchers@aol.com: "Re: Gyn: Lost IUD"

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