Re: ?hetertopic pregnancy

From: art fougner, md (evsono@pipeline.com)
Tue Feb 27 06:54:48 2001


Paul

"ring of fire" often either absent or incomplete in some ectopics fizzling out. of course these could be managed expectantly, which is what might be the prudent course of action here. Mark, had a case recently featuring a healthy growing IUG sac, risiing Betas, pain and an adnexal mass separate from the ovary and consistent with thickened tube. increasing pain prompted laparoscopy, revealing torsion of the fallopian tube.

art

At Mon, 26 Feb 2001, Paul Prior MD wrote: >
>On Mon, 26 Feb 2001 18:22:58 -0600, Mark Perloe <mperloe@ivf.com>
>wrote:
>
>>KA is a 32 yo G3 ectopic 2 female s/p right salpingectomy. She conceived
>>after ovulation induction and IUI (3 mature follicles with E2 384pg/ml
>>peak). An intrauterine gestational sac with fetal pole and FHT is seen. She
>>complains of left adnexal pain. The left ovary is enlarged suggesting mild
>>hyperstimulation. A small 1cm saclike structure on the edge of the
>>ovary. Over the past week it has not changed in size. It appears to be
>>attached (moves with) the ovary. She is now 6W4D.
>
>Doppler on the ovary? I'm sure you are more experience in this than
>I, Mark, but did you turn on the doppler in this area? I have found
>the "ring of fire" to be very helpful for ectopics.
>
>--
>Paul Prior MD
>Coshocton, OH
>Solo Practice
>OB/GYN, FACOG
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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