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Re: Bic Pen From: rchudacoff@mylinuxisp.com Tue Dec 26 08:31:22 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman: "Re: OB: Advanced Maternal Age" Previous message: Luis Sanchez-Ramos, MD: "Re: LS/PG was: Follow-up on patient with cholestasis of pregnancy" Maybe in reply to: ainsron@msn.com: "Bic Pen" Do you think she'll write about it in her memoires? ainsron@msn.com said: > Interesting what happens when people get too much holiday cheer. I was > called to assist a urologist in the OR today, a 41 yo WF came in to the > ER early this AM with a blood alcohol of 0.15 and apparently while she > was passed out, her friend/lover/partner pushed a Bic pen up "the small > hole." She was having a fair amount of pain, afebrile, with a WBC of > 15,000. The urologist initially did a cystoscopy and couldn't find a > hole in the bladder. An abdominal flat plate showed the foreign body > somewhere in the abdominal cavity. Because they didn't initially find a > bladder perforation, a gastroenterologist was called in and a air > contrast BE performed which did not show anything in the colon. She was > next taken to the OR and I was called at this point to help look for the > pen. We found it floating freely among the loops of small bowel and > about 500 cc of the irrigant used for the cystoscopy which was within > the peritoneal cavity. The pen was easily retrieved with a babcock > forceps through a 10mm port and removed. There was no bleeding from the > now easily identified opening into the dome of the bladder, as we filled > her bladder with saline and watched it leave the bladder. The plan is > to cover her with antibiotics for a few days, drain the bladder with a > Foley for 5-7 days. > > -- > Ronald E. Ainsworth, MD > -- Next message: Dean Huffman: "Re: OB: Advanced Maternal Age" Previous message: Luis Sanchez-Ramos, MD: "Re: LS/PG was: Follow-up on patient with cholestasis of pregnancy" Maybe in reply to: ainsron@msn.com: "Bic Pen"

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