Re: Abnormal implantation location!

From: Garry Siegel (garrys@mindspring.com)
Tue Apr 10 19:30:56 2001


At Tue, 10 Apr 2001, art fougner, md wrote: >
>Garry -
>
>is the gestational sac at all contiguous with the endometrial echo or
>cavity? if so, start with D&C under sonar guidance. If not - Scope!
>agree that Now is the time, given the facts presented. if possible are
>any of the images available for the ultrasound section?
>

Art:

I'm not sure that I can answer that intelligently, but I think that the sac is up in the corner, and is a bit away from the endometrium.

Richard:

I may well hysteroscope her pre and/or post D and C.

I still plan to lapscope initially--I'm quite reluctant to go up in their blindly (well, just with transabdominal ultrasound) with a suction curette.

Garry

--
Garry E. Siegel, M.D., F.A.C.O.G.
Roswell, GA
Private Practice




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