Surg/Gyn: One case
From: Bernard Cristalli (bcrist@club-internet.fr)
Fri Apr 10 16:45:59 1998
Dear list mates,
One case
30 YO woman operated on wednesday for a fertility check-up.
- hysteroscopy + polyp ablation
- laparoscopy: stage 4 endometriosis (blocked cul-de-sac, right
endometrioma, complete pelvic obstruction on the left) => prudent
liberation of a few adhesions (no scissors, no cautery)
thursday: everything allright, good pulse, no fever. Patient tired, she
wants to stay
Friday morning, Temp 38.3°C
Friday afternoon Temp 39°C, painful abdomen with ballooning; WBC 7000,
CRP 83; KUB important pneumoperitoneum.
What's going on?
--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm
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