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Re: Techa lutein cystsFrom: James Smeltzer (James.Smeltzer@wellstar.org)Wed Nov 3 14:50:21 2004
>>> sguich@transnethaiti.com 11/3/2004 4:25:13 PM >>> Techal lutein cyst is very common during early pregnancy,specially after induction of ovulation. The risk of twisting exist whenever the size is more than 5 cm.I recently had a case at 8wks with a 8 cm lutein cyst discovered at a routine early ultrasound exam.One week after her first sono she start having severe abdominal pain,rebound at the palpation necessitating an emergency laparotomy.The left adnexa was totally necrosed and we had to perform an adnexectomy. She is now at 21wks and the baby is just fine Serge Guichard, MD ObGyn, Haiti Serge, My experince and advice also. Please also be sure to supplement with progesterone to replace luteal function if there is a torsion of a luteal cyst before 10 weeks, as loss is high. After 10 weeks most progresterone is placental. After 12 almost all placental. Jim S
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