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Re: Gyn: Lost IUD From: Garry E. Siegel, M.D. (garrys@mindspring.com) Mon Mar 26 17:50:23 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Lost IUD" Previous message: rmodugno@aol.com: "Re: Gyn: Lost IUD" In reply to: rmodugno@aol.com: "Re: Gyn: Lost IUD" Next in thread: babycatchers@aol.com: "Re: Gyn: Lost IUD" Reply: babycatchers@aol.com: "Re: Gyn: Lost IUD" There is a fine consensus among esteemed gynecologists here. . . Flat plate it is! Medline--2004 article from Contraception requested. And my wife and office manager think I just mess around on the internet and don't do any work! Garry At Mon, 26 Mar 2007, rmodugno@aol.com wrote: > >-----Original Message----- >From: garrys@mindspring.com >To: ob-gyn-l@dns.obgyn.net >Sent: Mon, 26 Mar 2007 7:15 PM >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 >**************************** > >**************************** >Flat plate abdomen for starters. > >Robert Modugno MD MBA FACOG >Sylva, NC > >________________________________________________________________________ >AOL now offers free email to everyone. Find out more about what's free >________________________________________________________________________ >________________________________________________________________________ >from AOL at AOL.com. > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: Lost IUD" Previous message: rmodugno@aol.com: "Re: Gyn: Lost IUD" In reply to: rmodugno@aol.com: "Re: 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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