Re: Amazing case - follow-up

From: Terrence.Jones@kp.org
Tue Nov 11 10:01:37 2003


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So much for hypothetical image specificity. What caused the 'protrusion' - incisional or Spigelian hernia? What caused the pain? Why deliver if, upon opening, no defect was encountered? S'pose the defect on MRI was below the VUPR ('bladder flap'). S'pose the lower segment was a mass of adhesions, and the decision was made to enter higher (after all, She's had two prior classical incisions). Is it possible that, following delivery, involutional changes due to myometrial contractility might have 'sealed the diagnosis'? Winter approaches. [Oh; single layer closure? >:) tj]

"Lynn D. Montgomery, M.D." <apgar10@montanadsl.net> Sent by: ob-gyn-l@obgyn.net 11/11/2003 08:25 AM Please respond to ob-gyn-l

To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> cc: Subject: Amazing case - follow-up

A decision was made to go to section based on the MRI. At the time of surgery, no defect found. 26 weeker in the nursery.

Remember, it ain't my case... Lynn

Lynn D. Montgomery, M.D. Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 303 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net

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<br><font size=2 face="sans-serif">So much for hypothetical image specificity. What caused the 'protrusion' - incisional or Spigelian hernia? What caused the pain? Why deliver if, upon opening, no defect was encountered? S'pose the defect on MRI was below the VUPR ('bladder flap'). S'pose the lower segment was a mass of adhesions, and the decision was made to enter higher (after all, She's had two prior classical incisions). Is it possible that, following delivery, involutional changes due to myometrial contractility might have 'sealed the diagnosis'? &nbsp;Winter approaches. [Oh; single layer closure? &nbsp; &nbsp;>:) &nbsp; tj] &nbsp; </font> <br> <table width0%> <tr valign=top> <td> <td><font size=1 face="sans-serif"><b>&quot;Lynn D. Montgomery, M.D.&quot; <apgar10@montanadsl.net></b></font> <br><font size=1 face="sans-serif">Sent by: ob-gyn-l@obgyn.net</font> <p><font size=1 face="sans-serif">11/11/2003 08:25 AM</font> <br><font size=1 face="sans-serif">Please respond to ob-gyn-l</font> <br> <td><font size=1 face="Arial">&nbsp; &nbsp; &nbsp; &nbsp; </font> <br><font size=1 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; To: &nbsp; &nbsp; &nbsp; &nbsp;Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net></font> <br><font size=1 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; cc: &nbsp; &nbsp; &nbsp; &nbsp;</font> <br><font size=1 face="sans-serif">&nbsp; &nbsp; &nbsp; &nbsp; Subject: &nbsp; &nbsp; &nbsp; &nbsp;Amazing case - follow-up</font></table> <br> <br><font size=3 face="sans-serif">A decision was made to go to section based &nbsp;on the MRI.&nbsp; At the time of surgery, no defect found.&nbsp; 26 weeker in &nbsp;the nursery.</font> <br><font size=3 face="sans-serif">&nbsp;</font> <br><font size=3 face="sans-serif">Remember, it ain't my case...</font> <br><font size=3 face="sans-serif">Lynn</font> <br><font size=3 face="sans-serif">&nbsp;</font> <br><font size=3 face="sans-serif">Lynn D. Montgomery, M.D.</font> <br><font size=3 face="sans-serif">Rocky Mountain Women's Health</font> <br><font size=3 face="sans-serif">2835 Fort Missoula Rd., Suite 303</font> <br><font size=3 face="sans-serif">Missoula, Montana, 59804</font> <br><font size=3 face="sans-serif">406-549-0978</font> <br><font size=3 face="sans-serif">fax 406-549-0987</font> <br><font size=3 face="sans-serif">e-mail: apgar10@montanadsl.net</font> <br> <br><font size=3 face="sans-serif">&nbsp;</font> <br> <br><font size=2 face="sans-serif"><br> </font><font size=3 color=#800080><tt><b>------ Attachment(s) have been removed ------</b></tt></font> <br>





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