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Re: Hemoperitoneum From: Charlie Chambers (cchamber@alumni.rice.edu) Tue May 30 21:28:48 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Hemoperitoneum" Previous message: Gail Waldby: "Re: Finding RV fistulas" In reply to: rchudacoff@mylinuxisp.com: "Hemoperitoneum" Next in thread: Joanne Bulley, MD: "Re: Hemoperitoneum" on 5/30/00 7:35 PM, rchudacoff@mylinuxisp.com at 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 > rick, did you have a quant prior to surgery. btw, what happened with the bilateral adnexal masses. how did the sono describe them, and how large? I think you are probably correct in your final dx, but I'd be worried that you might have gone to the or for a false pos preg test, and erroneous ultrasound. -- ############################################################################ Charlie Chambers, MD "No matter where you go... 1732 McAndrews Road West there you are." Burnsville, MN 55337 (952)435-0531 Dr. Buckaroo Banzai cchamber@alumni.rice.edu ############################################################################ Next message: Joanne Bulley, MD: "Re: Hemoperitoneum" Previous message: Gail Waldby: "Re: Finding RV fistulas" In reply to: rchudacoff@mylinuxisp.com: "Hemoperitoneum" Next in thread: Joanne Bulley, MD: "Re: Hemoperitoneum"

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