Re: Placenta Accreta

From: art fougner, md (evsono@pipeline.com)
Wed Jun 7 11:59:21 2000


MRI may be helpful in getting a better feel for the degree of accreta, to help r/o a false pos, possibly to assess bladder invasion. also, unlike sonar, MRI has actually diagnosed an accreta of a posterior placenta. when all is said and done, however, if you are comfortable with the info at hand and are quite prepared to handle all potential eventualities, then MRI is not essential. BUT, it certainly can be useful if you want to get another handle on the situation or if there is any doubt.

art

At Wed, 7 Jun 2000, ainsron@msn.com wrote: >
>Last week I posed a question about diagnosis of placenta accreta with
>another post that no one addressed. When would you order an MRI to
>assist with the diagnosis, or would you? Is it even worth the added
>expense? The highest risk factors appear to be maternal age and placenta
>previa in a patient with a previous scarred uterus. The simplest course
>appears to me to be ready to deal with it in those patients, i.e. have
>blood ready, appropriate assistant, etc.
>
>--
>Ronald E. Ainsworth, MD
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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