Re: Adenomyoma

From: jkulkin (jkulkin@mindspring.com)
Sat May 27 07:23:50 2000


Why not a simple resectoscopic procedure. No predictions on future fertility but sure sounds like a primary section if she conceives.

Jay

JOshea1770@aol.com wrote:

> A 38 yo G3 P0 Ab2 female had a 15 week spontaneous loss. She retained the
> placenta which was removed in the operating room. Three months
> postoperatively a hysterosalpingogram demonstrated distortion of the
> endometrial cavity consistent with a leiomyoma or large polyp. Saline
> infusion sonography was performed. The mass was 4 cm, submucosal not
> intracavitary.
> A laparotomy for myomectomy was performed yesterday. The mass was very
> difficult to dissect. Frozen section diagnosis was adenomyosis. An
> endometrial cavity was reconstructed as there was essentially no demonstrable
> endometrium on the anterior endometrial cavity. The uterus was closed in
> three layer.
>
> Any opinions on this patient's future fertility. Anyone have a similar case
> to share.
>
> John O'Shea, MD
> State College, PA





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