Re: Fibroids and a Pelvic Kidney

From: Robert Radnich (rradnich@dca.net)
Wed Feb 25 15:42:52 1998


Interesting! I would suppress the fibroids with Lupron for 2-3 months. This will make the surgery easier. It will also give you a chance to get her H&H up preoperatively. I would also leave the kidney alone!

Bob

-----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 2:54 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
>





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