Re: Bicornuate versus Septate uterus
From: R. Daniel Braun (rd.braun@gmail.com)
Tue Sep 4 06:24:57 2007
I agree with Steve, but you do need an IVP, if you didn't check the kidneys
while the belly was open.
BTW, I quit counting at twenty, the number of times that I was the first to
diagnose a uterine anomaly at the time of REPEAT C/S. All but two of those,
the first C/S had been for Breech, The other guy just didn't pay any
attention to the uterus or else forgot to mention it.
Dan
On 9/4/07, Raymond Stephen <stephen.raymond@dhhs.tas.gov.au> wrote:
>
> Yes this is not a septate, or subseptate uterus, but bicornuate. What
> do you want the imaging for? You have already eyeballed it and seeing
> it on MRI would be of academic interest only.
>
> Steve
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry
> E. Siegel, M.D.
> Sent: Tuesday, 4 September 2007 12:07 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Gyn: Bicornuate versus Septate uterus
>
> Recently, I did a term breech section on one of our CNM patients who was
> noted at around 8 or 10 weeks to have a bicornuate uterus (new
> diagnosis).
>
> At surgery, she had a full septum, and the fundus had an indentation and
> two equal halves.
>
> I assume that this is bicornuate, as opposed to sepate, given the
> concavity on the external aspect of the fundus. . .correct?
>
> Anyway, would you simply image her with an MRI at 6 weeks? Does anyone
> have any experience with this? Also, and I don't mean to sound crappy, I
> wonder if this is a no-brainer for a radiologist who probably rarely
> sees MRIs for Mullerian abnormalities.
>
> Garry
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
>
> CONFIDENTIALITY NOTICE AND DISCLAIMER
>
> The information in this transmission may be confidential and/or protected
> by legal professional privilege, and is intended only for the person or
> persons to whom it is addressed. If you are not such a person, you are
> warned that any disclosure, copying or dissemination of the information is
> unauthorised. If you have received the transmission in error, please
> immediately contact this office by telephone, fax or email, to inform us of
> the error and to enable arrangements to be made for the destruction of the
> transmission, or its return at our cost. No liability is accepted for any
> unauthorised use of the information contained in this transmission. If the
> transmission contains advice, the advice is based on instructions in
> relation to, and is provided to the addressee in connection with, the matter
> mentioned above. Responsibility is not accepted for reliance upon it by any
> other person or for any other purpose.
>
--
R. Daniel Braun, MD FACOG(L) CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
