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Adenomyosis with chromopertubation From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Mon Mar 5 17:27:09 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman: "Re: c/s rate and midwives - REPLY" Previous message: Robert J Woolley: "Re: Hot tubs and whirl pools during pregnancy, also waterbirthingfor delivery" I performed a laparoscopy today on 37-year-old G0 with chronic pelvic pain and a history of endometriosis, and did chromopertubation. Using the Kahn’s canula, there was immediate uptake of Methylene Blue into the myometrium. Thinking the end of the canula had somehow invaded into the myometrium, the Kahn’s canula was replaced by a HUMI intrauterine manipulator, and again I injected Methylene Blue. The uterus got bluer, until finally there was evidence of flow through the tube. Does this rapid uptake of the dye suggest adenomyosis? Aside from a benign looking 3-centimeter simple cyst I could not find evidence for this patients chronic pain. The most I could see was a ‘tight’ looking peritoneum under her left ovary, where some of the pain complaint was, but no gross endometriosis, and it felt smooth with the probe. Thanks Rick -- Richard Chudacoff, MD Chudacoff Obstetrics & Gynecology, PLLC 15200 Southwest Freeway, #270 Sugar Land, TX 77478 Tel: 281-277-3900 Fax: 281-277-3901 rchudacoff@mylinuxisp.com <mailto:rchudacoff@mylinuxisp.com> Richard.Chudacoff@obgyn.net ********************************************************************** Neither the confidentiality nor the integrity of this message can be guaranteed following transmission on the Internet. ********************************************************************** Next message: Dean Huffman: "Re: c/s rate and midwives - REPLY" Previous message: Robert J Woolley: "Re: Hot tubs and whirl pools during pregnancy, also waterbirthingfor delivery"

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