Re: GYN: Entero-vaginal fistula

From: art fougner, md (evsono@pipeline.com)
Sat Jul 20 18:56:30 2002


has this been since the hyst or of recent onset?

art

At Sat, 20 Jul 2002, Joanne Bulley, MD wrote: >
>60-something yo patient referred to me.
>
>S/P TAH/BSO in the 1970's.
>Reported to primary doc - passing bits of food via vagina on some
>occasions.
>
>I was surprised - on mi first pelvic exam of her in the office I
>actually saw a bit of enteric material (moderate thickness, green)
>oozing through a small opening at the apex. I could push with a Qtip
>and more came - then it stopped. Pelvic exam didn't really show
>anything else.
>
>I did get a CT scan - showing some sigmoid divertics - but tough
>evaluation of the pelvis due to artifact generated by her replaced hip.
>No evidence of an abcess.
>
>What would you do?
>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>

--
art fougner, md
ich bin ein New Yorker




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