Re: endometriosis in C/S scar
From: gynendohaiti jean louis (gynendohaiti@hotmail.com)
Tue Jul 30 09:06:47 2002
In such a case- a must- I think to look inside the cavity . laparoscopy
>From: "Braun, R. Daniel"
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L
>Subject: RE: endometriosis in C/S scar
>Date: Tue, 30 Jul 2002 08:47:53 -0500
>
>
>Yes, but should we also look in the peritoneal cavity to see if there is any there in an assymptomatic patient?
>
>Dan
>-----Original Message-----
>From: Ricardo SavarisTo: Multiple recipients of list OB-GYN-L
>Sent: 7/30/2002 8:34 AM
>Subject: Re: endometriosis in C/S scar
>
>Daniel,
>
>Although asymptomatic, I believe that you should burn the endometrial
>spots and remove the endometrioma from the scar. I read (don't recall
>where) that all GnRH treatment are palliative and surgery seems to be
>the best treatment.
>
>That's my opinion
>
>Ricardo Savaris, MD
>Porto Alegre - Brazil
>
>
>>----- Original Message -----
>From: Braun, R. Daniel
>To: Multiple recipients of list
> OB-GYN-L
>Sent: Tuesday, July 30, 2002 10:22 AM
>Subject: endometriosis in C/S scar
>
>
>Patient is 30 ish G 3 P 3003 all cesarean sections. Had tubal at time of
>last section. Presents with a 2X3X4 cm lump at the right end of her C/S
>incision. It swells and becomes tender about the time of her period. No
>other symptoms at all. The question becomes one of "Since she has endo
>in her incision, does she have a likelihood of intraperitoneal endo, and
>if so, should we do a diagnostic scope at the time of excision of the
>scar endometrioma? If we do and we find endometriosis in this
>asymptomatic patient, what should we do about that?
>
>I would like to heart a lot of opinions. We had a bunch in our morning
>report.
>
>
>Dan
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