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Re: A large mass of granulation tissue following C.S. From: John Robertson MD (john.robertson@medispecialty.com) Sun Dec 3 10:30:40 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Robertson MD: "Re: early fetal support" Previous message: Gail Waldby MD: "Re: cord gas, etc." In reply to: Marco A. Pelosi, III, MD: "Re: A large mass of granulation tissue following C.S." Next in thread: Myer S. Bornstein, MD, CPE, FACOG: "Re: cord gases- which vessel" I would have thought this would be a perfect case for embolization - relatively stable patient, less invasive proceedure. I am assuming with a negative HCG (actually negative HCG was not stated just that choriocarcinoma was ruled out) that methotrexate would not be of value - but do we know that for sure? John At Sat, 2 Dec 2000, Marco A. Pelosi, III, MD wrote: > >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 > -- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV Next message: John Robertson MD: "Re: early fetal support" Previous message: Gail Waldby MD: "Re: cord gas, etc." In reply to: Marco A. Pelosi, III, MD: "Re: A large mass of granulation tissue following C.S." Next in thread: Myer S. Bornstein, MD, CPE, FACOG: "Re: cord gases- which vessel"

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