Emergency surgery, saving life
This is one of the most difficult situations and surgical decisions we have made and may be the hardest ever
An old woman, approximately over seventy years old, was complaining of several attacks of moderate to sever bleeding. After reviewing several doctors, hormonal and non-hormonal medications were prescribed to try to control the bleeding
Over months, the cause of the bleeding was not identified. In such cases, the possibility of malignant activity in endometrial cells must be excluded.
Her general condition began to deteriorate. The bleeding continued and did not respond to any treatment. The anemia was severe, with a hemoglobin level of less than 5 gm٪. She was admitted in intensive care unit.
We were consulted for expert opinion and management.
Take home note
Cases of bleeding after menopause are not uncommon, and dealing with them in most cases is easy, and appropriate drug treatment after proper diagnosis completely prevents the need for surgery in most cases.
If the correct diagnosis had been made at the beginning, the end would have been different and there would have been no need for operations in these dangerous circumstances.
Despite the difficult circumstances, the surgery went smoothly, and the patient was discharged from the hospital after her general condition stabilized.
