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Re: Hemoperitoneum From: Efrain Ramirez (eramirez@icepr.com) Tue May 30 20:38:42 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby: "Re: Finding RV fistulas" Previous message: Garry E. Siegel: "Re: new case" In reply to: rchudacoff@mylinuxisp.com: "Hemoperitoneum" Next in thread: Charlie Chambers: "Re: Hemoperitoneum" Yes - hemorrhagic corpus luteum and microabortion -- sometimes they really bleed - don't they? Funny that quali (usually + at 25? and no cross-reaction with LH) -- same standards units? At Tue, 30 May 2000, rchudacoff@mylinuxisp.com wrote: > >16 yo hispanic G0 (10 previous partners, trying to get >pregnant...another story all together) who was seen in the ER with >pelvic pain for three days, abdominal pain and light headedness. >She had a postive qualitative pregnancy and ultrasound showed >bilateral adnexal masses and lots of free fluid, and a thickened >endometrial stripe without an intrauterine pregnancy. > >Jeez......... if the case was that simple, I would not bother to list it. >Please read on. > >At laparoscopy she had 350 cc clotted and non-clotted blood. >Uterus and tubes were completely normal, left ovary was normal, >and she was bleeding slowly from the right ovary. The surface >epithelium looked as if it was pulled down and the expose corpus >luteum was oozing. There was no evidence of peri-hepatic >adhesions, TOAs, adhesions or PID, and I could not identify an >ectopic pregnancy. > >I cauterized the HCL, and left the case. While in the PACU the lab >called to say that while the qualitative hCG continued to be >positive, the quantitative hCG was less than 2.0, essentially >negative. > >They ran these tests three times each, using new packets/tests >each time. > >So here is my question....why? My diagnosis is that of a >hemorrhagic corpus luteal cyst, and no pregnancy. Any second >opinions? > >Rick > >Richard Chudacoff, MD >Chudacoff Obstetrics & Gynecology, PLLC >15200 Southwest Freeway # 270 >Sugar Land, TX 77478 >281-277-3900 >281-277-3901 fax > >rchudacoff@mylinuxisp.com >Richard.Chudacoff@obgyn.net -- "The things you learn after you know everything are the important ones" Next message: Gail Waldby: "Re: Finding RV fistulas" Previous message: Garry E. Siegel: "Re: new case" In reply to: rchudacoff@mylinuxisp.com: "Hemoperitoneum" Next in thread: Charlie Chambers: "Re: Hemoperitoneum"

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