Re: BTL in Pregnancy

From: Braun, R. Daniel (rbraun@iupui.edu)
Thu Jan 20 06:27:24 2000


So what did you find?

Dan

R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202

OBGYN.net International Representative for United States

Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236

-----Original Message----- From: amt104@hotmail.com [mailto:amt104@hotmail.com] Sent: Thursday, January 20, 2000 7:30 AM To: Multiple recipients of list OB-GYN-L Subject: Re: BTL in Pregnancy

Thanks for the commnet, but the patient presented as an acute abdomen. She was previously admitted for hypogastric pain, she was closely observed and was discharged asymptomatic (3 days), and she came back after a week with severe hypogastric pain and with bilateral adnexal tenderness, no vaginal bleeding.

At Thu, 20 Jan 2000, Braun, R. Daniel wrote: >
>The tubal shouldn't be any problem once you are there. What is forcing you
>to get there? You didn't say anything about hemodynamic instability just
>pain and a small amount of fluid in cul-de-sac. I think I would observe
>closely.
>
>Dan
>
>R. Daniel Braun, MD FACOG
>Clinical Professor
>Department of Obstetrics and Gynecology
>Indiana U. School of Medicine
>Indianapolis, IN 46202
>
>OBGYN.net
>International Representative for United States
>
>Certified AllExperts Expert
>Check out my bio/ratings page!
>http://www.allexperts.com/displayExpert.asp?Expert36
>
>-----Original Message-----
>From: amt104@hotmail.com [mailto:amt104@hotmail.com]
>Sent: Thursday, January 20, 2000 5:18 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: BTL in Pregnancy
>
>A 38 y/o G5P4(4004) at 8 wks AOG admiited for hypogastric pain.
>Transvaginal ultrasound reveals an intact intrauterine pergnancy, cystic
>right ovary, minimal cul de sac fluid.
>
>Patient is for explor lap, to consider bleeding corpus luteum cyst,
>requested sterilization, doesn't matter for her if she aborts or not.
>
>In this kind of situation, can bilateral tubal ligation be done, knowing
>all the effects of pregnancy to the pelvic organs?
>
>Your expert opinions please.
>
>thank you.





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