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Re: Gyn: Lost IUD From: R. Daniel Braun (rd.braun@gmail.com) Tue Mar 27 17:31:08 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Lost IUD" Previous message: R. Daniel Braun: "Re: Gyn: Lost IUD" In reply to: Bernard Cristalli: "Re: Gyn: Lost IUD" Next in thread: Efrain Ramirez: "Re: Gyn: Lost IUD" i would do the same thing that I would if there was an IUD, leave it alone. Not necessary to remove a mirena. Dan On 3/27/07, Bernard Cristalli <bcrist@club-internet.fr> wrote: > > Do an X-Ray first. > What if there's no IUD in the body at all? > Bernard > > Garry E. Siegel, M.D. a écrit : > > 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 > > > -- R. Daniel Braun, MD FACOG(L) CMT Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine -- R. Daniel Braun "The way to health is an aromatic bath and scented massage everyday".. Hippocrates Next message: R. Daniel Braun: "Re: Lost IUD" Previous message: R. Daniel Braun: "Re: Gyn: Lost IUD" In reply to: Bernard Cristalli: "Re: Gyn: Lost IUD" Next in thread: Efrain Ramirez: "Re: Gyn: Lost IUD"

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