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Re: GYN: Fibroids and a Pelvic Kidney From: Bernard Cristalli (bcrist@club-internet.fr) Wed Feb 25 13:51:19 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: AFPPLUS3@aol.com: "Re: Abnormal triple scree" Previous message: Malcolm Griffiths: "Re: Midnight Breech and Joseph Fletcher" Maybe in reply to: Geffrey H. Klein, MD: "GYN: Fibroids and a Pelvic Kidney" Next in thread: Robert Brenner: "Re: GYN: Fibroids and a Pelvic Kidney" Geffrey H. Klein, MD wrote: > > 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? > -- I did a hemostatic hysterectomy once in such conditions. 20 weeks with abruptio placentae, continuous bleeding after the uterus was empty. Embolization unavailable, went for a hypogastric ligation and I fell on a right pelvic kidney. I decided to perform the hysterectomy and found it much more easy to do than the ligation. The kidney is retro peritoneal and is not disturbing. A kidney is rather small you know. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: AFPPLUS3@aol.com: "Re: Abnormal triple scree" Previous message: Malcolm Griffiths: "Re: Midnight Breech and Joseph Fletcher" Maybe in reply to: Geffrey H. Klein, MD: "GYN: Fibroids and a Pelvic Kidney" Next in thread: Robert Brenner: "Re: GYN: Fibroids and a Pelvic Kidney"

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