-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Surg/Gyn: One case SOLUTION From: Bernard Cristalli (bcrist@club-internet.fr) Mon Apr 13 04:34:27 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Douglas Krell MD: "Re: Surg/Gyn: One case SOLUTION" Previous message: Bernard Cristalli: "Re: Surg/Gyn: One case" Next in thread: Douglas Krell MD: "Re: Surg/Gyn: One case SOLUTION" Maybe reply: Douglas Krell MD: "Re: Surg/Gyn: One case SOLUTION" Maybe reply: William J Faulkner: "Re: Surg/Gyn: One case SOLUTION" Maybe reply: Bernard Cristalli: "Re: Surg/Gyn: One case SOLUTION" > > > >> 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) > > > >> Friday afternoon Temp 39°C, painful abdomen with ballooning; WBC > >> 7000, CRP 83; KUB important pneumoperitoneum. > > -- I did go back in on Fri evening. Pre-operatively I thought of : - hysteroscopy induced PID, - post laparoscopic pneumoperitoneum though it seemed a bit too large, - peptic ulcer perforation, and of course - post sugical complications ie uterine perforation and bowel perforation I did a laparoscpy (open) - There was a certain amount of gaz inside, no bowel involved. - No pus nor stool inside - 3cms, sub-serosal Tumoral/endometriosic appendix I performed a classic McBurney appendectomy. Commentary: During the first laparoscopy I had just a glance on this area for the reason for the operation was fertility work out not pain, so I did not "unwind" the caecum as usual. Shame on me, but if I saw that at that time I don't think I would have removed it. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Douglas Krell MD: "Re: Surg/Gyn: One case SOLUTION" Previous message: Bernard Cristalli: "Re: Surg/Gyn: One case" Next in thread: Douglas Krell MD: "Re: Surg/Gyn: One case SOLUTION" Maybe reply: Douglas Krell MD: "Re: Surg/Gyn: One case SOLUTION" Maybe reply: William J Faulkner: "Re: Surg/Gyn: One case SOLUTION" Maybe reply: Bernard Cristalli: "Re: Surg/Gyn: One case SOLUTION"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:27:40 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.