Re: need help with weird case.

From: Douglas Krell (sfth@roadrunner.com)
Sun Apr 28 22:26:22 1996


Mark,

I have a patient with a nearly identical story from the standpoint of surgical history. Late 20's. Vaginal hyst for pain/mild prolapse. Laparoscopy 2wks later for trapped epiploic fat. Now complains of intermittant vaginal bleeding that cannot be documented. My patient even has a psychiatric history (though its more depression than neurosis).

I have looked twice and cannot document any heme. Stools guiac neg. No internal hemmorhoids on anoscopy. Pelvic exam completely normal. I've asked her to bring in a tampon with blood...she has yet to do this.

If I find anything definitive, I'll let you know. My patient did not have endometriosis. Maybe we should have these 2 patients exchange email addresses.

regards,

Doug Krell MD sfth@roadrunner.com





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