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Re: GYN: Fibroids and a Pelvic KidneyFrom: Robert Brenner (robbrenner@earthlink.net)Thu Feb 26 10:02:50 1998
At 01:36 PM 2/25/98 -0600, you 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 don't see where you'll have any problem. The kidney is retroperitoneal. The ureter should be shorter so there would be less chance of injury since it is probably away from the infundibulopelvic ligament. The rest of the course of the ureter should be unchanged. The most significant danger is not recognizing a pelvic kidney for what it is and removing it as a retroperitoneal mass.
-- Robert Brenner MD FACOG Pikesville MD robbrenner@earthlink.net http://docs.obgyn.net/drbrenner
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