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Re: TOA From: ainsron@msn.com Tue Oct 24 10:25:07 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "OB: Prenatal Embryonic Diagnosis" Previous message: Bruce Speyer: "Online Drugstores a Prescription for Failure" In reply to: Efrain Ramirez: "Re: TOA" Next in thread: Braun, R. Daniel: "Re: TOA" I agree, its much better to get it out when it is not "hot." This young woman has already decreased her fertility to the point where any conservative surgery is unlikely to leave her with options except in-vitro fertilization. If you can leave her with her uterus and one ovary, she will be lucky! >I would go in and try to take it out- eventually you will anyhow. >At Sun, 22 Oct 2000, IGOMACH8@AOL.COM wrote: >> >>25yo nulliparous woman with two prior lapartomies & drainage of TOA >>(5yrs ago and last yr)came in last week with PID. Treated with >>antibiotics and is now asymptomatic and afebrile. However, TOA is still >>there and size unchanged at 8cm. (Don't think this is neoplasm based on >>history, appearance on CT with normal ovary next to it). >> >>I'm reluctant to intervene surgically because it failed 2 times before >>and she now looks fine. On the otherhand, I don't think the TOA is >>likely to resolve, and I'm concerned regarding future flareups/rupture >>if she is sent home with an 8cm abscess. (CT drainage not an option >>because multiloculated; laparoscopy not feasible because her pelvis is >>full of dense adhesions based on prior op-reports). >> >>Any managment advice welcomed. Thank you. > >-- >"Do not take life too seriously. You will never get out of it alive." > >Marianne Williamson > -- Ronald E. Ainsworth, MD Next message: art fougner, md: "OB: Prenatal Embryonic Diagnosis" Previous message: Bruce Speyer: "Online Drugstores a Prescription for Failure" In reply to: Efrain Ramirez: "Re: TOA" Next in thread: Braun, R. Daniel: "Re: TOA"

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