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Re: Ovarian mass etc.--Garry's excellent surgical adventure :) From: jkulkin (jkulkin@mindspring.com) Fri Jun 30 22:50:23 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: Interesting VBAC" Previous message: art fougner, md: "Re: Interesting VBAC" Good case. Another point to follow, and treat medically, large unilocular cysts in young women. Not just a managed care thing. Jay "Garry E. Siegel" wrote: > At Fri, 30 Jun 2000, jay kulkin wrote: > > > >Time for the OR. The rest doesn't matter anymore. Let us know. > > > >JK > > > Here's the answer: > > Discussed possibilities at length with her. OR today, did curettage > with frozen section, and placed a scope while waiting. Frozen came back > with villi just as the scope was getting in. > > She had a bit of endo, normal tubes, a small uterus with a few tiny > subserosal fibroids. The left ovary was 8 cm., cystic, and had multiple > excresences that looked to me to be decidural. The right ovary was > normal sized with the same excresences. As I looked at it, in my heart > I knew this was a corpus luteum with decidual reaction. > > So, while gently trying to move the big ovary to peek underneath, it > ruptured, spilling fluid everywhere. There goes the plan to not spill > anything. That said, I biopsied the excresences (frozen--benign), and > then did a cystectomy laparoscopically--and it sure looks like a corpus > luteum. > > So, she'll follow up next week with another HCG level. I'll post the > final path, too. > > Out of town for a week--no computer allowed :). > > Garry > > -- > Garry E. Siegel, M.D., F.A.C.O.G. > Private Practice > Roswell, GA Next message: Paul Prior MD: "Re: Interesting VBAC" Previous message: art fougner, md: "Re: Interesting VBAC"

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