Re: Need your help (long)

From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Jun 20 00:14:50 2000


Can't you reach the hematoma vaginally ?

--
Bernard Cristalli MD AMACOG
AIHP - ACCA
Paris France
Bernard.Cristalli@CliniquedelEssonne.fr
http://www.CliniquedelEssonne.fr
http://www.obgyn.net/corresp/cristalli.htm
http://www.gyneweb.fr
'64 Mk2 3.8

> De : Richard Chudacoff <rchudacoff@houston.rr.com> > Répondre à : ob-gyn-l@obgyn.net > Date : Mon, 19 Jun 2000 22:11:22 -0500 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Objet : Need your help (long) > > Just a baffling case for me. > > 24 yo G4P4 s/p TVH/ A&P repair for prolapse and dyspareunia. Operation went > textbook perfect, with 150 cc blood loss. I saw her about 6 hours post-op, > where she looked pale, hypotensive and was tachycardic. When asked why I was > not notified, the nurses said that is how she looked when she arrived from > the PACU. I transfused her and followed serial hemoglobin, which stabilized, > and a CT scan revealed a left hematoma, partially retroperitoneal. I watched > her for 48 hours and she was stable, but unable to void, so I sent her home > with a leg bag/foley catheter. >





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