Re: Gyn: Lost IUD

From: Efrain Ramirez (eramirezt@coqui.net)
Tue Mar 27 03:09:41 2007


I agree with plain x-rays..

Ef

>At Mon, 26 Mar 2007, Garry E. Siegel, M.D. wrote:
>
>25 YO P1001 with a Mirena of around one year's duration, came in for
>removal. No string seen, and on exploring the uterus with an IUD hook,
>well, no IUD found.
>
>Ultrasound did NOT find her IUD, so it is lost.
>
>I have recommended H-scope/lapscope to find it, but she has asked about
>having a CT first. Actually, I hadn't thought of that, and it seems
>that a plain X-ray may be even the better first choice.
>
>My real questions is: Is there any role for imaging? My instinct says we
>simply need to go to the OR, as she couldn't have expelled it and not
>known it, I wouldn't think. That said, if it is up under her diaphagm.
>. .
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian




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