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Re: the mother of all mittleschmertz From: Anna Meenan, MD (annam@uic.edu) Thu Oct 3 08:53:24 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Mario Colombo, MD: "Re: PTD after TVT" Previous message: art fougner, md: "Re: the mother of all mittleschmertz" In reply to: John Robertson MD: "the mother of all mittleschmertz" Experienced this from "the other side of the table" when I was 21. This was in the pre-ultrasound era (or at least ultrasound was not readily available). Presented to ER of a respected suburban hospital with very clear history of sudden onset RLQ pain (I told them the exact minute it began) and got diagnosed initially with PID (in spite of the fact that no one even asked my sexual hx which was nonexistent at the time, and I told them everytime they asked that i had no vag discharge). It wasn't til the next AM when the hgb on my repeat cbc had dropped that they decided it wasn't PID and a general surgeon did an exploratory lap and figured out what was wrong. -- Anna Meenan, MD At Wed, 2 Oct 2002, John Robertson MD wrote: > >A couple of weeks ago I was called to see a 20ish female with pelvic >pain and a 10 cm mass on US. She had been on Depoprovera for about >1&1/2 years and had been off it for about 6 months. She reported having >slightly irregular cycles, the last of which was 4 weeks ago. she also >complained of chest and shoulder tip pain. Her urine HCG was negative. >In view of her pain and the U/S findings I did a laparotomy and found >400cc of blood in her abdomen. it looked very much like a badly >ruptured ectopic. After cleaning this out she had a small steady drip >coming from her right ovary and I excised a corpus luteum, and closed >the deficit. There was no other source found for the bleeding. A CT >scan the following day did not show any source for bleeding and was >essentially negative. She did well and went home, and the final path >report was as predicted. Has anyne ever seen this much bleeding from a >corpus luteum before? Is this a result of the first true ovulation after >depo? The GP thinks I should write it up. John. > >-- >J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 >(604) 793-9988 e-mail john.robertson@obgyn.net >Who is wise and understanding among you? Let him show it by his good life, >by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV > Next message: Mario Colombo, MD: "Re: PTD after TVT" Previous message: art fougner, md: "Re: the mother of all mittleschmertz" In reply to: John Robertson MD: "the mother of all mittleschmertz"

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