Re: Adenomyoma

From: Eberhard W Lisse (el@ac.lisse.na)
Thu Jan 25 11:30:36 2001


Peter,

In message <4.1.20010125102345.00964840@icsi.net>, "Peter V. Weston, M.D." writ es:

> 35 year old patient with a bad obstetric history - 2 mid pregnancy
> losses. U/S showed a large anterior submucous and intramural
> "leiomyoma". At surgery it did not shell out and the path report
> showed that it was an adenomyoma.

Maybe the Sonographer isn't as good as he thinks he is :-)-O, and in such cases I would suggest doing a Scope prior to opening her up.

If you do it yourself you can make your own choice.

> Does anyone know of references on post surgical management of such a
> case,

Normal postop, stiches out as usual, send home whenever the HMO squeals.

> recommendations re future pregnancy

Now that is a good question :-)-O

> and if she should become pregnant obstetrical management?

Vaginal Bypass.

el





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