comment for discussion on case synechial

From: JT & JL Tomko (buddy@redrose.net)
Mon Dec 8 21:51:18 1997


At 02:59 PM 12/8/1997 -0600, you wrote: >Ok, folks. We now have a bit of case history with the images. You can
>view these first two examples that most have thought looked like uterine
>synechia. What do you think? Please send comments to:
>Ultrasound@OBGYN.net
>

For those who missed a theory that somewhat crossed my mind with Dr. Mamula's recent case and the one I listed. How can we really define twin ~ empty sac versus singleton with synechia in the early first trimester? Interesting point to ponder...is vanishing twin truely as common as we once thought? Of course we cannot include the documented two yolk sac and two embryo within this group. Any suggestions? Should we not call twins in this instance until a two week follow-up exam? Seems to place the patient in an unecessary grieving process if they are told they lost a twin that was really never there.

Janet Tomko RDMS




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