9.7.07

A total thyroidectomy for a Hurthle cell tumor in a 45 years old female ended up badly. At the end of the operation, the patient had a breathing problem, the vocal cords not moving well; was reintubated and sent to ICU. On 9.8.07, was reported to be doing fine after tracheostomy which was done in the ICU, and patient sent home with the tracheostomy tube after a few days when she insisted on going home. The tube was changed for a smaller tube today.

10.7.07

A diagnostic laparoscopy was performed in a young unmarried woman of 20 years of age for pain lower abdomen and a rudimentary uterus on ultrasound. The diagnostic laparoscopy showed uterus as 2 rudimentary horns with a connecting fibrous bar in the middle. Both were excised laparoscopically considering the possibility of presence of endometrial tissue in one or both of them ( patient presenting with occasional pain in the lower abdomen). In view of the uterine and vaginal hypoplasia, the final diagnosis made was – mullerian agenesis (Mayer-Rokitansky-Kuster-Hauser syndrome).