Re: uterine adhesions to post per. wall

From: Efrain Ramirez (eramirezt@coqui.net)
Wed Mar 23 18:13:00 2005


I have never had to do "anything" except wait- but maybe this case merits some action - Dan's suggestion might work...

> At Wed, 23 Mar 2005, R. Daniel Braun wrote:
>
>Maybe the pain is from the retroverted incarcerated uterus and the
>distended partially draining bladder. Before opening the abdomen, and
>under anesthesia, place a tenaculum on the cervix and push the fundus
>cephalad(Transvaginally) while pulling on tenaculum. Might work.
>
>On Wed, 23 Mar 2005 12:54:55 -0600, Steve & Eryl Raymond
><eryl@intekom.co.za> wrote:
>> Operate as soon as possible otherwise you'll have an incarcerated
>> retroverted uterus with urinary retention and you'll be operating
>> acutely in the middle of the night when no-one is at their best.
>> Steve Raymond
>>
>> Khaled Homouda wrote:
>>
>> >... Now she
>> >is in a new pregnancy 12 weeks but she is in a continuous pain for the last
>> >4 weeks, yesterday I did her ultrasound to find the uterus acutely RVF with
>> >the cervix extremely anterior, by manual examination the uterus couldn't be
>> >erected, so I suppose the fundus is adherent to the post peritoneum, Now
>> >what can I do?... I thought of waiting till 16 wks gestation and attempt
>> >laparotomy removal of the adhesions if the spontaneous anteversion doesn't
>> >take place (with the possibility of subsequent bleeding and possible
>> >hysterectomy) or evacuation of the pregnancy now (which I don't like)...what
>> >can I do
>> >
>> >Khaled Homouda, M.D.
>> >
>>
>--
>R. Daniel Braun
> Kinky for Governor
>

--
 I think I will do nothing for a long time but listen,
 And accrue what I hear into myself...and let sounds
 contribute toward me.

~walt whitman~





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