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Re: cornual pregnancy From: art fougner, md (evsono@pipeline.com) Tue Apr 23 12:21:51 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: ??? Economic Losses from a Malpractice Suit ???" Previous message: art fougner, md: "Re: cornual pregnancy" In reply to: Efrain Ramirez: "Re: cornual pregnancy" Next in thread: art fougner, md: "Re: cornual pregnancy" if the diagnosis is that much in doubt and 3d sonar is not available - then laparoscopy might be more prudent - my own experience with interstitial pregnancy suggests that to make the diagnosis sonographically the sac should be outside the confines of the endometrial/decidual echoes. this sign has been quite helpful. art At Mon, 22 Apr 2002, Efrain Ramirez wrote: > >MRI ?? > >- At Mon, 22 Apr 2002, Pamela Grace C. Gonzalez, MD wrote: >> >>Dear Colleagues, >>Please help me with this. >> >>This is my case. 38 yo G1P0, asymptomatic. First seen in the clinic >>due to amenorrhea. Repeated Pregnancy Test done at home revealed >>negative results. Given progesterone which did not induce menses. >>Ultrasound done 2 weeks after medication revealed: Early single >>intrauterine pregnancy 4-5 weeks by mean sac diameter location of the >>gestational sac is near the fundal portion at the left which is not the >>usual location. Both ovaries are small with a corpus luteum on the >>left. >> >>Patient remained asymptomatic. >> >>Repeat ultrasound 3 weeks later revealed Single live intrauterine >>pregnancy 7-8 weeks by embryonic pole with strong cardiac activity. >>Location of the gestational sac is still close to the left fundal >>portion with a portion not surrounded by myometrium at certain planes. >>This is suggestive of a cornual pregnancy but cannot rule out the >>presence of a bicornuate uterus with its site of gestation within the >>left cornual area. >> >>Both were done by the same Gyne sonologist. >> >>What's next? >> >>Thank you. >> >>Dr Gay > >-- >"Life is neither the notes nor the silence between the notes, but the music that > arises out of sound and silence felt as a living whole. Stop choosing...between > chaos and order, and live at the boundary between them, where rest and action > move together..." David Whyte > -- art fougner, md ich bin ein New Yorker Next message: DoctorJoe@aol.com: "Re: ??? Economic Losses from a Malpractice Suit ???" Previous message: art fougner, md: "Re: cornual pregnancy" In reply to: Efrain Ramirez: "Re: cornual pregnancy" Next in thread: art fougner, md: "Re: cornual pregnancy"

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