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Re: Ectopic pregnancy on the pelvic wall From: jay kulkin (jkulkin@mindspring.com) Tue Apr 7 19:56:26 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Terrence.Jones@ncal.kaiperm.org: "Pelvic Mass/APL/DIC" Previous message: Marco A. Pelosi, III, MD: "Re: Ectopic pregnancy on the pelvic wall" Maybe in reply to: Ricardo Savaris: "Ectopic pregnancy on the pelvic wall" Next in thread: Calvin J. Siegers, MD FACOG: "Re: Pelvic Mass/APL/DIC" Reply: Calvin J. Siegers, MD FACOG: "Re: Pelvic Mass/APL/DIC" Reminds me of a case report in the early 90's by Harry Reich in the early days of salpingotomy with tissue left in the pelvis that implants on the peritoneum. Agree with Marco's recommendation but would follow titers after a good nights sleep. Jay At 06:44 PM 4/7/98 -0500, you wrote: >At Wed, 1 Apr 1998, Ricardo Savaris wrote: >> >>OK folks, >> >>I was leaving my on call, and my collegue told me about his case on other >>hospital with better facilities than mine. So I started to wander what I >>would do if: >>It is sunday night, no laboratory, no Gelfoam, no cautery, no blood bank, >>and a patient cames in hypovolemic shock with LMP 8 weeks ago. >> >>I do a laparotomy and find an ectopic pregnancy with infiltration of the >>trophoblast on the pelvic wall, over the great vassels (hypogastric) and it >>is bleeding. What would I do? >> > >Open the pelvic sidewall peritoneum lateral to the problem, reflect it >medially, and check if the tissue invades the vessel. If it invades, >dissect the vessel free and ligate proximally. If it doesn't invade, >resect the involved peritoneum and trophoblast together and go home. > >-- >M.A. Pelosi, III, MD > -- Jay M. Kulkin, MD MBA Medical Director BCBS of Georgia office 770-386-0640 ext. 17 office e mail-jkulkin@bcbs-ga.com Next message: Terrence.Jones@ncal.kaiperm.org: "Pelvic Mass/APL/DIC" Previous message: Marco A. Pelosi, III, MD: "Re: Ectopic pregnancy on the pelvic wall" Maybe in reply to: Ricardo Savaris: "Ectopic pregnancy on the pelvic wall" Next in thread: Calvin J. Siegers, MD FACOG: "Re: Pelvic Mass/APL/DIC" Reply: Calvin J. Siegers, MD FACOG: "Re: Pelvic Mass/APL/DIC"

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