A young woman (early 30s) who was taken to OR for unresolving pelvic mass....
Classic studding of pelvic TB on the mesentery of the small bowel.
Bilateral pyosalphinx (blunted tubes, filled with pus) on either side of a uterus covered with the TB "studding"
Massive fibroid arising from the fundus of the uterus (the pelvic mass!)
A few days later.... a 24 year old G1P1 with abdominal ascites and a abdominal/pelvic mass...
It was a 30 cm ovarian tumor (Sertoli-Leydig)....
I did the surgery aided by a 3rd year general surgery resident visiting from the US...
The finished product!
One of the challenges - and joys! - of this job is that I get to do so many cases that I would not get to do in the US. Here I am the MFM, the oncologist, the intensivist ....and the *sigh* .... reproductive specialist. Today, I tackled my first myomectomy - it was a fundal fibroid that measured 15cmx10cm. Luckily, it was a very smooth case and the patient mantained her uterus!
Please remember me as I struggle to adapt to these new challenges: that I would have grace under pressure, the courage to try something new and the wisdom to know when not to!
And finally.....my favorite work in progess....
Teddy, the cat in the (night) hat! ha ha ha
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