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Re: Postmenopausal pelvic free fluid From: Dr Eberhard Lisse (el@lisse.NA) Wed May 9 00:11:19 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: Two articles that might interest you" Previous message: Cesar Molina: "Re: Postmenopausal pelvic free fluid" In reply to: Allan: "Postmenopausal pelvic free fluid" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Postmenopausal pelvic free fluid" Tubal Carcinoma? el on 5/8/07 11:46 PM Allan said the following: > 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 -- Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) PO Box 8421 \ / Please do NOT email to this address Bachbrecht, Namibia ;____/ if it is DNS related in ANY way Next message: Dr Eberhard Lisse: "Re: Two articles that might interest you" Previous message: Cesar Molina: "Re: Postmenopausal pelvic free fluid" In reply to: Allan: "Postmenopausal pelvic free fluid" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Postmenopausal pelvic free fluid"

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