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Re: Splenomegaly and pregnancy From: ainsron@msn.com Mon Aug 21 17:14:09 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: OB: Bedrest" Previous message: Braun, R. Daniel: "Re: "routine" prenatal visit LONG of course" In reply to: ainsron@msn.com: "Fri: Pilsbury Doughboy" Your absolutely right, I don't really know for sure it is a spleen, except for the two ultrasounds that describe it as such. May need to consider an MRI for further evaluation, I'll see what the perinatologist thinks when he reviews her. >I had a patient last year referred to me with PMB (rather different to your >patient. She had a mass felt above the uterus and initial US said it was a >large spleen too. However it turned out to be a retroperitoneal mass and >turned out to be rather difficult to resect. > >The point I'm trying to make here is - how certain are you (with no >haematological abnormalities) that this is a spleen? > >-----Original Message----- >From: ainsron@msn.com [mailto:ainsron@msn.com] >Sent: 21 August 2000 17:13 >To: Multiple recipients of list OB-GYN-L >Subject: Splenomegaly and pregnancy > >I have a 15yo, G1 (who ironically I also delivered) who initially saw a >CNM for care and subsequently transferred care to me for high risk >pregnancy care because of splenomegaly. She noted a sudden increase in >abdominal girth at about 14 weeks and a sonogram showed "massive >splenomegaly." F/U ultrasound demostrates the same and on exam her >abdomen is asymmetrically enlarged, largest and fullest in LUQ. She has >normal hematologic parameters - normal platelets, normal peripheral >smear, normal H&H and normal liver function tests. She is quite thin, >and I think it would have been noted before if it was present prior to >pregnancy. She has had a hematologic consultation with no specific >findings or recommendations and I discussed it with a perinatologist who >basically said, "Hmm, never seen that before, but I'll look for >information." He called me back today after reviewing some information >and said it could be a sign of glycogen storage diseases and suggested >genetic consultation. Anyone have any other thoughts or suggestions? >Thanks > >-- >Ronald E. Ainsworth, MD > -- Ronald E. Ainsworth, MD Next message: Joanne Bulley, MD: "Re: OB: Bedrest" Previous message: Braun, R. Daniel: "Re: "routine" prenatal visit LONG of course" In reply to: ainsron@msn.com: "Fri: Pilsbury Doughboy"

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