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Re: GYN: suspected endometriosis From: Bernard Cristalli (bcrist@club-internet.fr) Tue Feb 8 23:45:12 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. Myer Bornstein: "Re: suspected endometriosis" Previous message: Dan Logen: "Re: Fetal Lung Maturity Question (was: Fetal Lung Maturity Question) !!!" In reply to: Garry Siegel: "GYN: suspected endometriosis" Next in thread: Margot Bourassa, MD: "Re: Fetal Lung Maturity Question (was: Fetal Lung Maturity Question) !!!" Laparoscopy first, patient being aware of the eventuality of an immediate laparotomy +/- bowel resection. -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France Bernard.Cristalli@CliniquedelEssonne.fr http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm '64 Mk2 3.8 > De : garrys@mindspring.com Wed Feb 9 05:07:51 2000 > Répondre à : ob-gyn-l@obgyn.net > Date : Tue, 8 Feb 2000 22:03:56 -0600 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Objet : GYN: suspected endometriosis > > Opinions please: > > 24 YO P0 presents, having been a patient for a few years, but recently > having gone to the gastroenterologist because of pain with BMs, urgency, > and diarrhea such that if she were in traffic on the way to work, she > sometimes couldn't get off the road quickly enough to a toilet. As it > turns out, she has a long history of "stomach problems" previously > attributed to irritable bowel. Also, in 1997, she was worked up for UTI > symptoms, all negative. > > This is a nice woman who doesn't complain much, and doesn't come in > much. She also has been on the pill for years, with regular cycles, and > a bit of dyspareunia. > > The GI doc did an air contrast BE, and it is suggestive of a 2 to 3 cm > extrinsic compression of the anterior wall of the sigmoid, consistent > with endometriosis. > > Today, here exam was normal. The uterus is posterior, not tender, and > there is not any cul de sac nodularity. > > Obviously, it sure sounds like endometriosis. I have thought about > using emipiric Lupron, versus a lapscope and go from there. > Alternatively, should she have a CT or MRI to look at the colon better, > and maybe go straight to resection of the extrinisic lesion (I assume by > laparotomy by a surgeon, perhaps in concert with a endometriosis > laparoscopy/laparotomy). > > What do y'all think? > > Garry > > -- > Garry E. Siegel, M.D., F.A.C.O.G. > Roswell, GA > Private Practice > Next message: Dr. Myer Bornstein: "Re: suspected endometriosis" Previous message: Dan Logen: "Re: Fetal Lung Maturity Question (was: Fetal Lung Maturity Question) !!!" In reply to: Garry Siegel: "GYN: suspected endometriosis" Next in thread: Margot Bourassa, MD: "Re: Fetal Lung Maturity Question (was: Fetal Lung Maturity Question) !!!"

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