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Re: Postmenopausal pelvic free fluid From: Cesar Molina (cemolar777@gmail.com) Tue May 8 23:03:01 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: Postmenopausal pelvic free fluid" Previous message: Raymond Stephen: "Re: prophylactic steroid w/o PTL" In reply to: Allan: "Postmenopausal pelvic free fluid" Next in thread: Dr Eberhard Lisse: "Re: Postmenopausal pelvic free fluid" Culdocentesis definitively for bacteriology and citology tests. Not more. Maybe some gastrointestinal studies. But directly analisis of peritoneal fluid will reveal the etiology. 2007/5/9, Allan <AllanHo@aol.com>: > > 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 > Next message: Dr Eberhard Lisse: "Re: Postmenopausal pelvic free fluid" Previous message: Raymond Stephen: "Re: prophylactic steroid w/o PTL" In reply to: Allan: "Postmenopausal pelvic free fluid" Next in thread: Dr Eberhard Lisse: "Re: Postmenopausal pelvic free fluid"

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