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Re: A large mass of granulation tissue following C.S.From: Steve & Eryl Raymond (eryl@intekom.co.za)Sun Dec 3 21:03:15 2000
<FontFamily><param>Times New Roman</param><bigger>This mass has characteristics which suggest that it is haematoma with liquefied areas within it. This strongly suggests a dehiscence of the C/S scar and I would think that if it is managed conservatively is going to leave a very weak or even deficient scar. My opinion is that you should open her and evacuate the abnormality, resuturing clean myometrium to clean myometrium. I don't think those areas are vessels, rather liquefied areas of blood clot. On 1 Dec 2000, at 12:28, Dr. Abdelhamid Attia wrote: <smaller>Postoperative periodand puerperium went fine except for somewhat more blood loss than usual. 6 weeks after labour,she visited me for followup and on examination the uterus was found to be large, subinvoluted and bleeding was ++.<bigger>
<smaller>U/S revealed normal sized empty upper uterine segment with the presence of a large heterogenous mass, with large blood vessels inside, at the lower uterine segment mainly towards the anterior uterine wall (site of scar). The mass is 10X66X85mm. The cervix isnormal sized and its canal is empty. The likely diagnosis was a disrupted scar with a large mass of granulation tissue. <bigger>
<smaller>I'm managing the case conservatively but bleeding, though minimal, is continuous.<bigger>
<smaller>Dr. Abdelhamid Attia, MD Assist. Prof. of Ob&Gyn - Cairo University <underline><color><param>0000,0000,FF00</param>Http://www.geocities.com/thetropics/7210/</underline></color><bigger> <nofill>
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