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Re: Looking for listers' recommendations From: Gordon Goldman (obgyndoc@swbell.net) Wed Feb 25 15:07:56 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ronald Ainsworth: "Re: Is vaginal estrogen unnaposed?" Previous message: Richard D. Kaplan: "Re: Looking for listers' recommendations" In reply to: jsbowpat@aol.com: "Looking for listers' recommendations" Next in thread: Atkinson, Samuel M, Jr: "Re: Looking for listers' recommendations" Reply: Atkinson, Samuel M, Jr: "Re: Looking for listers' recommendations" It is very likely that she will not experience any problems. However, if she does and you have not made any attempt to retrieve it, you could incur liability. If she declines the procedure, "document the hell out of it". If you attempt to retrieve it laporascopically and fail, you are obliged to proceed with open laparotomy, and she should be aware of this. I would also have a general surgeon available if complications should arise. Gordon On Feb 25, 2009, at 2:17 PM, jsbowpat@aol.com wrote: > 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. Next message: Ronald Ainsworth: "Re: Is vaginal estrogen unnaposed?" Previous message: Richard D. Kaplan: "Re: Looking for listers' recommendations" In reply to: jsbowpat@aol.com: "Looking for listers' recommendations" Next in thread: Atkinson, Samuel M, Jr: "Re: Looking for listers' recommendations" Reply: Atkinson, Samuel M, Jr: "Re: Looking for listers' recommendations"

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