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Re: Postmenopausal pelvic free fluid From: Garry E. Siegel, M.D. (garrys@mindspring.com) Tue May 8 20:55:23 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Postmenopausal pelvic free fluid" Previous message: Andrew Folley: "Re: Postmenopausal pelvic free fluid" In reply to: Andrew Folley: "Re: Postmenopausal pelvic free fluid" Next in thread: Joe: "Re: Postmenopausal pelvic free fluid" Reply: Joe: "Re: Postmenopausal pelvic free fluid" Reply: Andrew Folley: "Re: Postmenopausal pelvic free fluid" Culdocentesis? When is the last time anybody did one of those? I think that the likelihood that she has something bad is low. Another case: 85 YO P1001 in the hospital from assisted living for "dwindles"--abnormal Na+, etc. She is spry but a bit confused. Renal ultrasound saw a bit of fluid in the endometrial cavity. Pelvic ultrasound, transabdominal, saw the same. She was too honery for a transvaginal scan. Her exam was normal (hospital bed), and I sent a pap. Any thoughts? Garry PS--has had midline laparotomy years ago for something--patient and daughter simply don't know, but the daughter thinks that she only has 1/2 of one ovary. She is not bleeding, and is NED for some type of bladder cancer. Garry At Tue, 08 May 2007, Andrew Folley wrote: > >I am not certain what the significance of peritoneal fluid would be in this >lady??? I would be inclined to wait and watch recheck echo in 3 to 6 months >or at most do an office culdecentesis looking at the fluid for cytololgy and >protein level etc. It seems like laparoscopy might be doing too much at this >point. agf > >>From: AllanHo@aol.com (Allan) >>Reply-To: ob-gyn-l@obgyn.net >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >>Subject: Postmenopausal pelvic free fluid >>Date: Tue, 8 May 2007 17:46:34 -0500 >> >>What would you do? >> >>60 yo P3 menopausal since age 45. New patient to me 3 weeks ago with no >>specific complaints. Had some left sided tenderness during bimanual >>exam. Transvaginal ultrasound showed free fluid in cul de sac. (Uterus >>was small. Ovaries were not seen.) Largest pocket 2x2x2cm. CBC, TSH, >>CEA, CA125, Liver & renal function tests were all normal. Chest x ray, >>CT abdominal & pelvis were non-contributory. Guaiacs were negative. >>Colonoscopy was negative. Same amount of pelvic free fluid in CDS three >>weeks later. Patient is asymptomatic. >> >>I am thinking about doing a culdocentesis, but also feel that going >>directly to laparoscopy may yeild more information and avoid the >>possibility of vaginal contamination of the fluid for culture. Thanks >>in advance for your input. >> >>-- >>Allan >>Solo practice >>Southwest, PA > >_________________________________________________________________ >PC Magazine’s 2007 editors’ choice for best Web mail—award-winning Windows >_________________________________________________________________ > >-- >_________________________________________________________________ >Live Hotmail. >_________________________________________________________________ >http://imagine-windowslive.com/hotmail/?locale=en-us&ocid=TXT_TAGHM_migration_HM_mini_pcmag_0507 > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: DoctorJoe@aol.com: "Re: Postmenopausal pelvic free fluid" Previous message: Andrew Folley: "Re: Postmenopausal pelvic free fluid" In reply to: Andrew Folley: "Re: Postmenopausal pelvic free fluid" Next in thread: Joe: "Re: Postmenopausal pelvic free fluid" Reply: Joe: "Re: Postmenopausal pelvic free fluid" Reply: Andrew Folley: "Re: Postmenopausal pelvic free fluid"

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