Re: Gyn: Lost IUD

From: babycatchers@aol.com
Wed Mar 28 17:00:44 2007


I forgot to mention that they recommend an ultrasound to find the Mirena- or so they said a few hours ago. Vicki Smith, CNM, MSN West Virginia Changing the world one baby at a time.

-----Original Message----- From: garrys@mindspring.com To: ob-gyn-l@dns.obgyn.net Sent: Mon, 26 Mar 2007 7:51 PM Subject: Re: Gyn: Lost IUD

There is a fine consensus among esteemed gynecologists here. . .

Flat plate it is!

Medline--2004 article from Contraception requested.

And my wife and office manager think I just mess around on the internet and don't do any work!

Garry

At Mon, 26 Mar 2007, rmodugno@aol.com wrote: >
>-----Original Message-----
>From: garrys@mindspring.com
>To: ob-gyn-l@dns.obgyn.net
>Sent: Mon, 26 Mar 2007 7:15 PM
>Subject: Gyn: Lost IUD
>
> 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
>****************************
>
>****************************

>Flat plate abdomen for starters.
>
>Robert Modugno MD MBA FACOG
>Sylva, NC
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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