Re: torsion of the gravid uterus

From: art fougner, md (evsono@pipeline.com)
Mon Jul 22 21:10:38 2002


elective section

art

At Mon, 22 Jul 2002, evita fernandez FRCOG wrote: >
>A young woman approached me to find out the risks involved in going
>through another pregnancy.Her first pregnancy ended in a fresh still
>born fetus following a torsion of her gravid uterus at 36 wks.Apparently
>at the laparotomy done for an acute abdomen, the incision was made on
>the posterior aspect of the uterus.She is now very very anxious about
>the risk of a rupture in the next pregnancy.I have had no experience
>with torsion.In my mind I compared it to the risks involved with a
>myomectomy incision taken on the posterior aspect especially when
>inadvertently one opens the uterine cavity.Has anyone got any experience
>in this area?I would like to help this young lady who at the moment is
>appearing for her postgrad exam in ObGY.....the poor lass.
>I thought a laparoscopy cum hysteroscopy would help to ease the mind of
>the obstetrician and the patient.Any suggestions?
>
>--
>Evita Fernandez
>

--
art fougner, md
ich bin ein New Yorker




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