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Re: A large mass of granulation tissue following C.S. From: Efrain Ramirez (eramirez@icepr.com) Sat Dec 2 14:01:34 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Hepatitis C" Previous message: Efrain Ramirez: "Re: early fetal support" In reply to: Marco A. Pelosi, III, MD: "Re: A large mass of granulation tissue following C.S." Next in thread: John Robertson MD: "Re: A large mass of granulation tissue following C.S." I agree - I had one patient who was a VBAC - suspected dehiscence - before developing the bladder flap there was this large hematoma --as soon I tried to developed the flap the hematoma along the scar burst out - the flap was "holding" intradominal leakeage - that's why I asked if he replaced the bladder flap - maybe the hematoma is within that area - will it hold - ???!! or is it within the myometrium ? we will see - keep us informed! >Interesting case. With a previa following two cesareans, the main >concern is placenta accreta. Perhaps the heavy blood loss at delivery >was indicative of a defective decidua basalis and abnormal placentation. >Although I was unable to access the photos, comments made by the other >respondants suggest what I suspect - a hematoma, perhaps within the >myometrium. Given the size of the mass and continued heavy bleeding in >addition to multiparity, hysterectomy would seem expedient and curative. >In any event,I would anticipate continued bleeding. Additional imaging >may be useful only in determining whether the mass is expanding or >contracting, but expectant management would appear to be insufficient. > >-- >M.A. Pelosi, III, MD > -- "Do not take life too seriously. You will never get out of it alive." Marianne Williamson Next message: Efrain Ramirez: "Re: Hepatitis C" Previous message: Efrain Ramirez: "Re: early fetal support" In reply to: Marco A. Pelosi, III, MD: "Re: A large mass of granulation tissue following C.S." Next in thread: John Robertson MD: "Re: A large mass of granulation tissue following C.S."

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