Re: Normal delivery and uterine rupture after c-section

From: art fougner, md (evsono@pipeline.com)
Thu Feb 24 14:24:29 2005


take patient to OR

art

At Thu, 24 Feb 2005, Ricardo Savaris wrote: >
>Dear all,
>
>I has been a long time since my last e.mail, but I have seen the msg.
>This is the following case. A 27yold, had a normal delivery 10 days
>ago. She has a previous c-section 2 years ago. She arrives at the ER
>complaining of vaginal bleeding, and pain.
>On PE: abdomen: low intensity pain over suprapubic region. Epiotomy
>painfull, moderate bleeding.
>US: show a 5cm uterine gap, suggestive of uterine rupture. Free fluid
>in the abdominal cavity.
>I just order CBC, no signs of local or systemic infection.
>
>Suggestions?
>
>--
>Ricardo Savaris, MD
>Porto Alegre - Brasil
>

--
art fougner, md

"If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra





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