Re: Unusual uterus

From: Anatoli I. Garkusha (midilover@yahoo.com)
Mon Oct 16 22:41:48 2000


Dear Gail,

Thanx for images. Could pelvic sonograms be sent? Full bladder also seen. Sonography will give the answere.

--
Anatoli I. Garkusha, MD, sonologist
Kiev, Ukraine

--

>This is an interesting case that I probably have the answer to (slides sent >out for yet another second opinion) but I am going to post it as an unknown >to see if anyone has seen something like this. I will post it in stages >unless someone quickly gets the answer: > >67 year old white female developed paraesthesias left foot only a few >months ago. Comprehensive work-up negative, except for atherosclerosis of >abdominal aorta, probably of no significance seen on plain lumbar spine X-rays. >Health conscious. >Pelvic last year normal. >History of colon polyps, had a little rectal bleeding. Rectal exam and >colonoscopy normal last February or March. >Severe back pain last few weeks, normally has back pain but quickly >relieved by chiropractic manipulation, 3 visits to chiropracter didn't help. >Admitted to hospital with back pain, severe constipation and same day >developed watery vaginal discharge, blood tinged, no previous uterine bleeding. >Rectal exam rock hard mass centrally anterior to rectum. >Stenotic vaginal introitus, but one finger bimanual reveals mass above to >probably be uterus. >Doesn't want hysterectomy unless absolutely necessary, so started with >hysteroscopy. >Cervix smooth. Marked cervical stenosis, able to get pediatric cystoscope >in with difficulty, smooth atrophic endometrium. >Laparoscopy showed: >http://members.home.net/gwaldby/Surgical/Surgeons/uterine.cancer.htm >Gail Waldby, MD >Huron Clinic SD





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