--
Richard Chudacoff, MD
This message is confidential, intended only for the named recipient(s) and
may contain information that is privileged or exempt from disclosure under
applicable law. If you are not the intended recipient(s), you are notified
that the dissemination, distribution or copying of the messages is strictly
prohibited. If you receive this message in error, or are not the named
recipient(s), please notify the sender at either the e-mail address or
telephone number above and delete this e-mail from your computer.
_____
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel
Braun
Sent: Wednesday, June 29, 2005 9:22 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Pyometra
One of the more common causes is Cervical Cancer. Another is endometrial
cancer
On 6/29/05, Dr. Ainsworth <ainsron@sbcglobal.net> wrote:
I saw a pleasant 82 yo widowed-lady last week. She is not sexually
active and was referred because of "recurrent vaginal spotting" over the
past two years. No other complaints, in fact she didn't even feel she
had a problem, takes no meds, no health problems. Her FP ordered a
sonogram before I saw her that showed fluid within the endometrial
cavity and possibly a 12mm polyp. I suggested an endometrial biopsy
which she reluctantly agreed to. When I introduced the pipelle, which
slid in without resistance, much to my suprise, it filled quickly with
purulent material. I replaced it with an explorer curette and the
syringe filled with 8 cc of pus and was blood tinged. Pathology came
back benign with mucopurelent material. The culture showed diphtheroids
and enterococcus. I placed her on Doxycycline at the time of the
biopsy, when the culture and sensitivity came back the only thing it was
sensitive to was Vancomycin. My plan is to finish the current
antibiotics and repeat the sonogram in a month. Does anyone feel that a
hysteroscopy is necessary at this point? Any ideas on why she would
present with this unusual finding?
--
R. Daniel Braun
Kinky for Governor
