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Re: The case of the missing adnexa. From: dahmd@gate.net Sat Aug 24 18:33:22 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bridge of Hope: "altitude question" Previous message: DIB ABDALLA CHACUR: "Re: The case of the missing adnexa." Maybe in reply to: R. Daniel Braun: "The case of the missing adnexa." Next in thread: Prashant Mangeshikar: "Re: The case of the missing adnexa." In article "DIB ABDALLA CHACUR" <chacur@rol.com.br> writes: >> My only comment would be not to enlarge you incision very much. Lets >face >> it, we've all done many BTL and we know where the thube lives. Is PPS >the >> time to explore the abdomin. I think not. 6 weeks post partum this can >be >> done laparascopically or a HSG can be done in the interim. >> Jay Kulkin, M.D. >Please, >What is BTL ? BTL is Bilateral Tubal Ligation. In the US this is a generic term that refers to all forms of tubal ligation (i.e. rings, clips, ligation, fulguration, etc). This discussion reminds me of a case during my second year of residency, where I was struggling to find the left tube on a rather large postpartum patient. William Spellacy, my attending, was standing at the head of the bed watching, and in my nervousness I remarked to the medical student "maybe she has unilateral absence of the tube and that's why I can't find it." Dr. Spellacy glanced over and said "what do you think the pregnancy rate is for that? Keep looking." Once again he was right, and I finally found the tube! (I could never figure out why these things always seemed to happen when he was around). I later saw a case during laparoscopy of missing adnexa that appeared to be from prior torsion. Her history and the findings of a small, fibrotic mass seemed to support this. Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL Next message: Bridge of Hope: "altitude question" Previous message: DIB ABDALLA CHACUR: "Re: The case of the missing adnexa." Maybe in reply to: R. Daniel Braun: "The case of the missing adnexa." Next in thread: Prashant Mangeshikar: "Re: The case of the missing adnexa."

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