Trigger warning: rare medical conditions/complications (OB/Gyn)
When I started to work after graduation I did 9 months of surgery. After that I started OB/Gyn. In both professions people where joking about the ‚rule of three‘. If there is a case of acute appendicitis there will be two more cases soon. And after that weeks without a case. Same with ectopic pregnancies, emergency cesarean sections, big ovarian cysts and other stuff. Even if it’s mostly an inside joke, there is a grain of truth (at least it feels like it). And working in private medical practice I feel like it in that setting happens too. The cases of people wanting an abortion, vaginal infections or women with irregular cycles seem to accumulate at certain times.
But I feel like I‘m experiencing the next level…
Last year we had lots of pregnancies of women in their 40ies (most of them unplanned; oldest one was 49 when she gave birth). And this year I feel like the theme is ‚once in a lifetime occurrences‘. This far I already saw:
- a case of Utrosct (a very rare, sometimes malignant tumor of the uterus) - had to ask AI about that and it stated that there where 511 cases worldwide up till November 2023.
- a a case of granulosa cell tumor of the ovaries - 1-2% of all malignant ovarian tumors (which are not that common themselves)
- a 30 year old women with breast cancer - less then 1% of all women with breastcancer are that young when diagnosed
- a women that got pregnant from a man who had an vasectomy years ago. The urologist confirmed that the ducts rejoined - 0,03-1,2% chance
- a pregnancy that implanted in the scar of the cesarean section - 0,05% of all pregnancies
- a fetus that developed a big cyst in the abdomen in just 2 weeks time - 0,1% of fetuses have such a condition
The last two cases where yesterday and today. I‘m very worried about both. Hope tomorrow (last day before my two week break) won’t hold such crazy stuff!










