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Re: Looking for listers' recommendationsFrom: Richard D. Kaplan (rkaplan@triad.rr.com)Wed Feb 25 14:50:45 2009
I would do exploratory laparascopy to remove it. Richard Kaplan Greensboro, NC
> ----- Original Message ----- My collaborative OB/GYN asked me to post this case and ask for listers' input .... A 35 yo G1P1, who has a guardian secondary to developmental disability, was referred to our office secondary to a "lost" copper-T IUD. The device was placed by another OB/GYN in 2004, and strings were not visualized on follow-up exam in 2005. At that time, it was found to be migrated to the RUQ, close to the spleen. The patient is not currently menstruating secondary to psych meds. She is not experiencing any abdominal pain at this time. Repeat CT of the abdomen and pelvis revealed the IUD lies just inferior to the distal colon in the left mid-abdomen. My partner's question - leave well enough alone or consider exploratory laparascopy to retrieve it? The general surgeon was consulted, and he was not helpful. Thanks! Susan Paterson CNM MS Center for Women's Care 835 S Main St., Suite 2 Oconto Falls WI 54154 ------------------------------------------------------------------------------ ------------------------------------------------------------------------- Looking for work? Get job alerts, employment information, career = -- -------------------------------------------------------------------------advice and job-seeking tools at AOL Find a Job.
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