Re: Vaginal Cuff Evisceration
From: art fougner, md (evsono@pipeline.com)
Tue Jun 28 10:43:13 2005
Baddest man in the whole damn town!
art
At Tue, 28 Jun 2005, R. Daniel Braun wrote:
>
>Many years ago, we had a similar one. Except when we asked her who she ha
>been having sex with, she replied "LeRoy!" We never did find LeRoy though.
>
> On 6/28/05, Atkinson, Samuel M <ATKINSONS@mail.ecu.edu> 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!
>> _________________________________________________________________
>>
>--
>R. Daniel Braun
>Kinky for Governor
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
