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Case 7 - A 55-Year-Old Female with a 25-Year Smoking History and COPD Is Undergoing a Robotic Hysterectomy

Published online by Cambridge University Press:  19 November 2021

By
Randa Jalloul
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 55-year-old gravida 3, para 3, perimenopausal female presents with complaints of pelvic pressure, abnormal uterine bleeding, and urinary frequency. Her evaluation reveals uterine fibroids. A trial of hormonal treatment with iron supplementation failed to resolve her symptoms and the patient desires definitive treatment. A hysterectomy is planned. Her medical history is significant for chronic obstructive pulmonary disease (COPD) and a 25 pack-year history of cigarette smoking. Her surgical history included cholecystectomy and bilateral tubal ligation. Her medications include a long-acting muscarinic antagonist inhaler, norethindrone 5 mg daily, and oral iron supplement. She has no shortness of breath at rest, but reports a chronic cough and difficulty walking up more than one flight of stairs. She has no chest pain with activity and no family history of cardiovascular disease.

Keywords

COPDlung diseasepulmonary
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 18 - 20
Publisher: Cambridge University Press
Print publication year: 2021

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References

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