Wednesday, April 24, 2013

The Great Escape

I was going through old snaps from my previous stint as NJH and found this great story. 

It was a Sunday afternoon, when we had a young lady come in with a very peculiar complaint. I appreciated that she was quite forthright. The family had decided that she would abort her baby. It was her second pregnancy and her first baby was a girl.

She was already into her third trimester. 

Her in-laws had taken her to a quack. The poor guy did what he knew best. And he did not know his anatomy. 

He pushed in a laminaria tent into the urethra instead of into the uterus. And the laminaria tent had gone through the urethra into the bladder. The peculiar design of the laminaria tent ensured that it got stuck. 

We were in a peculiar position. 

The baby was about 28 weeks old. And there was a laminaria tent inside her bladder with the thread sticking out. 

Our surgeon thought it best to do a cystotomy (opening the bladder through a small operation in the abdomen) and remove the laminaria tent. 

And that's what we did. 

The lady came back and delivered about about couple of months. I was away on leave. But everybody remembered her. 

And of course, the baby was a beautiful girl . . . a very very lucky girl. 

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