Healing Hands with Personal Care

          Mrs. ABC, a 47-year-old woman with a history of two previous cesarean sections, recently sought medical attention for persistent vaginal bleeding accompanied by clot passage over the past 20 days. Upon examination, her uterus was found to be enlarged to the size typically seen at 14 to 16 weeks of pregnancy, with significant bleeding.

A sonography indicated an increased thickness of the endometrial lining (23 mm), Dr. Dimple Jain, an experienced obstetrician and gynaecologist, recommended a hysteroscopy with dilation and curettage (D&C). During the hysteroscopy, several endometrial polyps, not previously detected on the sonography, were identified. Dr. Jain noted that transvaginal ultrasound (TVUS) and abdominal sonography have varying levels of sensitivity, making hysteroscopy the preferred diagnostic and therapeutic choice in this case.

The procedure included polypectomy and D&C, with samples sent for histopathological examination. Upon receiving the pathology reports, Mrs. ABC underwent a hysterectomy due to ongoing menorrhagia (heavy menstrual bleeding) and abdominal discomfort related to the enlarged uterus. The surgical procedure was complex, as the uterus was found adhered to the anterior abdominal wall with obscured visibility of the bladder.

Despite the challenges, Dr. Jain successfully completed the hysterectomy without complications. Mrs. ABC recovered well post-operation and was discharged home in good health.

This case highlights the critical role of hysteroscopy in diagnosing and treating underlying gynaecological conditions, ensuring optimal patient outcomes under the care of skilled medical professionals like Dr. Dimple Jain.