uterus adhesion

From: Gordon M. Goldman (goldmang@medicine.wustl.edu)
Tue Sep 24 22:50:02 1996


Had a startling discovery on L/S last week. 36 y/o WMF w/two C/S in past now has menorrhagia and enlarging myomatous uterus confirmed by serial U/S. H/S w/D&C shows capacious cavity w/o extrinsic impingement from multiple myomata (sounds to 14cm.). Disordered prolif. E/M on path. On L/S, the large uterus is firmly adeherent to the anterior abdominal wall with dense adhesions. Can't identify any structures in anterior space. Will try to treat menorrhagia medically, but if pain and further growth continue, what advice can listers offer to keep out of trouble at TAH?

Gordon





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