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Re: laparoscopy and D&C
From: anonymous (anonymous@obgyn.net)
Wed, 15 Mar 2000 09:35:50 -0600 (CST)
On the ultrasound (at 5.5 weeks lmp)they described a "pseudosac" in my
uterus as well as a mass near my right ovary (which was later wrongly
diagnosed as a right tubal ectopic). I had many signs of pregnancy
(nausea, bloating, backache) and my hCG levels were rising normally.
After the MTX, which was administered at 6 weeks lmp, my hCG levels
"plateaued" (18000, 16600 and 17000) and that's why we decided to do the
laparoscopy a week and half later (where they found nothing but a cyst
on my right ovary). I just don't understand where this pregnancy was
and if that "mass" was not product of conception...what could it
possibly be? I am so confused. I just need some answers in order to be
able to deal with this loss. What do you think could have happened?
Have you ever heard of a case similar to this before? Where could I get
more information, aside from my obgyn?
At Tue, 14 Mar 2000, Harvey S. Marchbein, M.D. wrote:
>
>At Tue, 14 Mar 2000, anonymous wrote:
>>
>>I had a laparoscopy last week to remove a diagnosed ectopic pregnancy in
>>my right fallopian tube (1 dose of MTX was unsuccessful). However,
>>during the procedure the surgeons determined that there was no ectopic
>>pregnancy. Instead, there was a cyst on my right ovary which explained
>>the pain I was experiencing. They then did a D&C and found nothing
>><out of the ordinary> in my uterus. Therefore, they explained that they
>>could not find the pregnancy and it might have desolved with the MTX.
>>The same day as the surgery, my B-hCG levels were 17000. 5 days later,
>>I started experiencing severe menstrual cramps and moderate to heavy
>>vaginal bleeding. 2 days later a fleshy <mass> (about 2.5 cm by 7.5 cm,
>>came out of my vagina. This was all very similar to a previous
>>miscarriage that I had. How is it possible that I <miscarried> after a
>>D&C? The only way I can explain this is that I had a perfectly healthy
>>intrauterine pregnancy and a cyst on my right ovary, that was
>>misdiagnosed as a tubal ectopic. Any opinions or suggestions on what my
>>next course of action should be would be greatly appreciated.
>
>Actually, I can't figure out why, if the tissue was as big as you
>describe and it was a "pregnancy", why the sono didn't describe it.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
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