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Case 73 - A 32-Year-Old P0 Woman with Persistent Pain after LAVH/BSO for Endometriosis

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 32-year-old para 0 presents with persistent pain after laparoscopic assisted vaginal hysterectomy/bilateral salpingo-oophorectomy (LAVH/BSO) for endometriosis. Her surgery was notable for bilateral endometriomas with scarring of the ovaries to each respective ovarian fossa and adhesions of the rectosigmoid colon to the left ovary. She had an uneventful recovery from surgery and was started on estrogen-only therapy for skeletal and cardiovascular protection. Three months following surgery, she reports the onset of an intense intermittent left lower quadrant pain. This began cyclically though it has progressed to pain for at least two weeks of each month. She has no past medical history. Her past surgical history is significant for three laparoscopic endometriosis surgeries, LAVH/BSO. She is taking estradiol (Estrace) 1 mg PO daily. She has no allegies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 222 - 224
Publisher: Cambridge University Press
Print publication year: 2021

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References

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