Gynaecologist Dr Anum Rasool

Gynaecologist Dr Anum Rasool MBBS. FCPS Gynecology and Obstetrics
Member of society of Obstetrics and gynecology Pakistan.

19/08/2024

Case of P0A0 Multiple fibroids with Venous thromboembolism phenomena

P0A0 42 years old Married for 20 years with heavy menstrual bleeding for 5 years had history of previously midline scar operated for ovarian masses 12 years ago, plus history of abdominoplasty n hernia repair with mesh 8 years ago..9 months back her Above knee amputation done due to VTE phenomena ..now on ultrasound huge multiple fibroids largest one measuring 10 ×8 cm on P/A pelvic mass upto epigastrium , irregular immobile firm lower limit not reachable P/V examination v/v healthy uterus upto 20 wks size mobility restricted cervix normal fornices clear no pv bleeding or discharge..after optimising for surgery High risk consent for TAH taken as pt doesn't need fertility n wants definitive treatment
MDT approach
Blood arranged 3 pints
Total hysterectomy done with midline incision n repair of mesh .

Team Riaz hospital
Prof dr riaz hussain dab
Gynaecologist Dr Anum Rasool
Dr osman riaz

Case of OVARIAN CANCER58 years P0A1 postmenopausal for 10 years( surgical menopause) presented with complaint of abdomi...
15/03/2024

Case of OVARIAN CANCER

58 years P0A1 postmenopausal for 10 years( surgical menopause) presented with complaint of abdominal swelling for 1 year associated with early satiety bloating
and shortness of breath on examination A mass 15 ×15 cm arising from right iliac fossa mobile firm to cystic , nontender normal temperature overlying skin is normal and lower limit is reachable, on per speculum vaginal vault healthy looking no bleeding or discharge .On vaginal examination no uterus felt firm to cystic bilateral masses about 20 wks size were palpated.
On ultrasound bilateral ovarian masses right 10 cm with septa and multiple solid component measuring 19mm to 32mm , on colour dappled blood flow is present in solid component

Left sided cyst 15 cm with solid element 54mm
N blood flow+ve
No free fluid seen in pelvis

Her CA 125 427U/ml
Making her
"RISK OF MALIGNANCY INDEX"

Ultrasound findings(3)×CA 125 (427)×menopausal(3) = 3843

Pt optimize for surgery
Staging laparotomy done at Riaz hospital faisalabad
Midline incision
Peritoneal washing taken
Bilateral ovarian masses Left 13 ×13 cm mass with intact capsule n no tumor on external surface
Right 8 × 8 cm complex ovarian mass with tumor on external surface which was adherent to lateral pelvic wall n sigmoid colon.
Infracolic omentectomy done
Diaphragm, under surface of liver palpated
Tissues sent for histopathology n pt follow up with chemotherapy plus post op thromboprophylaxis
Counselling about lifelong follow up.

Team of doctors!
Prof dr Riaz hussain Dab (FRCS)General n laproscopic surgeon
Gynaecologist Dr Anum Rasool fcps gyne n obs
Dr Anees fatima gynecologists
Anesthetist
Histopathologist
Medical oncologist

15/03/2024

Case of Primary subfertility due to Multiple fibroids

P0A0 ,28 years of age Married for 10 years came with complaint of inability to conceive and lower abdominal heaviness and abdominal swelling for 8 years associated with heavy and painful menstruation soaking 4-5 pads / day ,cycle 7 /28 day ,regular, h/o painful coitus on examination pale
and spoon shaped nails, abdomen soft nontender 10 ×10 cm size mass irregular firm mobile occupying subumblical region lower limit not reachable, on per vaginal , bimanual examination uterus 16 to 18 wks size irregularly enlarged, mobile, nontender,both adnexa clear, on per speculum examination cervix healthy looking with no bleeding or discharge pap smear taken.
Her ultrasound report showed multiple fibroids largest one 7×7 cm on anterior wall , not distorting endometrial cavity.
Patient optimize for surgery and her multiple myomectomies done , endometrial cavity not breached...tubal patency with methylene blue showed bilateral patent tubes with free spillage ovaries were normal n healthy looking..
Pt was called for follow up after 10 days.
And 6 months contraception advised.

Doctors Team.

Prof dr Riaz hussain Dab (FRCS)General n laproscopic surgeon
DR ANUM RASOOL (FCPS gyne n obs)
Dr Anees Fatima ( FCPS gyne n obs)
Anesthetist
Riaz hospital faisalabad

13/03/2024

Case of Endometrium Cancer
Stage 2
Summary

54 years old P5A0 , diabetic for 10 years on insulin,menopausal for 8 years presented with postmenopausal bleeding and pv discharge for 2 months n significant wt loss 7 to 8 kg, shortness of breath n early fatiguability,
TVUSS showed endometrium 5.8 mm and heterogenous mass invading into myometrium.
On MRI report7×7×6 cm mass in endometrium infiltrating right lateral wall of uterus upto >50% of its depth , no parametrial invasion seen, lobulated. Component extends upto cervical canal upto the level of internal os , no definite invasion of walls of cervix.no associated suspicious pelvic lymphadenopathy
HB 8.8
ANTI HCV +ve
Endometrial biopsy advised
Patient optimize for surgery
Radical hysterectomy done at Riaz hospital Faisalabad with multidisciplinary team approach
Including general surgeon Prof dr Riaz hussain Dab ( FRCS)
Gynecologist
Dr Anum Rasool (FCPS gyne n obs)
Dr Anees Fatima(FCPS gyne n obs
DR Osman riaz Dab General n laproscopic surgeon
ANESTHETIST N HEMATOLOGIST
oncology nurse
Follow up with histopathology report n radiotherapy.

09/03/2024

OPD timings 12pm to 4pm . Fee 1000 rs .Consultant Gynaecologist ,Obstetrician .Infertility specialist . 0418780601

Address

Riaz Hospital Shadman Town , Sargodha Road , Lasani Pulli , Faisalabad
Faisalabad

Telephone

+92418780601

Website

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