Medical Report
تقرير طبي
The above mention lady , 49 yrs old , 
PMHx: hypertension 
PSHx: cesarean section with tubal ligation, 

She presented with complaints of heavy menstrual bleeding with passage of clots, not responding to medical treatment.

On examination:
Ultrasound shows a bulky uterus, with no adnexal mass seen.

Advice for total abdominal hysterectomy 

Thanks





