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Re: Hemoperitoneum From: Braun, R. Daniel (rbraun@iupui.edu) Wed May 31 10:27:52 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: new case" Previous message: Braun, R. Daniel: "Re: question" Maybe in reply to: rchudacoff@mylinuxisp.com: "Hemoperitoneum" Next in thread: rchudacoff@mylinuxisp.com: "Re: question" Not with that kind of hemoperitoneum. 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: Charlie Chambers [mailto:cchamber@alumni.rice.edu] Sent: Wednesday, May 31, 2000 10:25 AM To: Multiple recipients of list OB-GYN-L Subject: 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: Betsy Hyde: "Re: new case" Previous message: Braun, R. Daniel: "Re: question" Maybe in reply to: rchudacoff@mylinuxisp.com: "Hemoperitoneum" Next in thread: rchudacoff@mylinuxisp.com: "Re: question"

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