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Re: Fibroids and a Pelvic Kidney From: R. Daniel Braun, M.D. (rbraun@iunet.iupui.edu) Wed Feb 25 13:01:25 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun, M.D.: "Re: Abnormal triple scree" Previous message: R. Daniel Braun, M.D.: "Re: Optimal Treatment of Rectovaginal Endometriosis" Don't take the kidney out!!!!!!! {;<) Seriously when you get there, make sure you see where the renal artery comes from and where the vein goes. Also, the obvious, TRACE OUT THE URETER. Since you know it is there, it shouldn't really be a problem. The problem arises when you don't know its there and think it is one of the fibroids and try to remove it. Just go back to know your anatomy. In this case, trace out the abnormal anatomy before you go clamping and cutting. But then, you know that. Dan -----Original Message----- From: Geffrey H. Klein, MD <gklein@bcm.tmc.edu> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Wednesday, February 25, 1998 2:59 PM Subject: GYN: Fibroids and a Pelvic Kidney >Hi all.. > >I have a patient in her late forties with an 18 week size uterus secondary >to uterine fibroids. She had a hematocrit of 26% due to heavy 7-8 day >periods with blood clots. I am trying to get her periods to slow medically >with provera 10d/month. US of the pelvis revealed these fibroids and a >left pelvic kidney.. If medical therapy fails, I was considering a TAH. > >Anyone ever do a hyst in a patient with a pelvic kidney? Do you have any >helpful hints? > >---------------------------------- >Geffrey H. Klein, MD >---------------------------------- >gklein@bcm.tmc.edu >---------------------------------- >List-owner OB-GYN-L > Next message: R. Daniel Braun, M.D.: "Re: Abnormal triple scree" Previous message: R. Daniel Braun, M.D.: "Re: Optimal Treatment of Rectovaginal Endometriosis"

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