|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Vaginal Cuff EviscerationFrom: Joe Cutchin (forcep@intercom.net)Tue Jun 28 08:29:41 2005
Atkinson, Samuel M wrote: > Many years ago on a Saturday afternoon a 16 yo came to the ED with the > CC of vaginal bleeding. Esam revealed a perfectly clean, almost > surgical, posterior colpotomy. I repaired it vaginally. In spite of > negative x-rays (I didn't have MRI in the dark ages) I did explore her > for a foreign body. > She insisted she woke up bleeding and refused to tell me any more. As > her family had no insurance, she came by weekly for mos to pay on the > account. I offered to zero the account if she would tell me how it > occurred. She only replied that "You are too young (and possibly the > wrong race) to understand." I subsequently delivered her twice, tied > her tubes and she never revealed the answer to my questions. The > condition never recurred! > > -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew > Folley > Sent: Monday, June 27, 2005 9:11 AM > To: Multiple recipients of list OB-GYN-L > Subject: Re: Vaginal Cuff Evisceration > > Over the weekend I had a 23 yo woman come in to ER with pelvic and > abdomianl > pain acute onset with cramping and vaginal bleeding. She had had a > hsyterectomy by my partner in December 2004. > (Severe endomietriosis pelvic pain etc) I examined her and she had a 2 > by 3 > cm. opening in her vaginal cuff at the site of closure. What is > particularly > bizarre is that she had a similar presentation in April about 8 weeks > previously. She had signs of acute abdomen then and was explored by > surgery > with large midline abdominal incision and found to have a "abdominal > /vaginal " perforation or opening in cuff. It was repaired abdominally > by > her original GYN at that time. I could put 2 fingers into the cuff > opening > and visualize small bowel through tht vagina although it had not > prolapsed > through the cuff. WBC and Hb normal. he denies any unusual sexual > practices. No durgs smoking, no steroids, no diabetes, weighs 130 > pounds. > What would you do now?? andrew > > FREE! > This is not uncommon. I have seen and repaired three in my career. I've never seen any article written on subject. All teens or early 20's. Joe C
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:40:19 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.