Transvaginal

From: Dr Eberhard Lisse (el@lisse.NA)
Sun Jul 29 11:02:22 2007


That reminds me of some Cuban Quacks here in the rural north some years back who evacuated a patient without doing any examination/investigation and perforated her. Then sent her home, and when she came back the next day in extremis (but not anemic) , they sent her to the big rural hospital, where their fellow Cuban Wannabe Ultrasound Quack diagnosed "ectopic" due to "free fluid".

On Laparotomy of the patient I found a perforated uterus.

I then explored the abdominal cavity and found a smallish placenta which came off the bowel easily and with hardly any bleeding. So I followed the umbilical cord, and found a 24 week old fetus below the liver with the bowel hanging out.

I asked them whether they were also doing liver biopsies transuterinely in Cuba, which resulted in me being up in front of the Medical Superintendent (Chief of Staff?), yet again, for causing an "international incident", yet again :-)-O.

el

on 7/28/07 8:06 PM RModugno@aol.com said the following:

> It's amazing how easy that is to do! The omentum really looks good
> through the hysteroscope.
>
> Ofcourse the "natural orafice" types have already done transvaginal
> cholecystectomies.
>
> Robert Modugno MD MBA FACOG
> Sylva, NC

some years beakc





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