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Re: laparoscopy and D&CFrom: anonymous (anonymous@obgyn.net)Thu, 16 Mar 2000 07:13:13 -0600 (CST)
At Wed, 15 Mar 2000, anonymous wrote: > >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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