Re: Interesting case

From: DoctorJoe@aol.com
Thu Sep 29 17:12:12 2005


In a message dated 9/29/05 11:50:21 AM, rd.braun@gmail.com writes:

> The provisional diagnosis at this time was atypical severe pre-eclampsia.
> Is there anyone there who wouldn't have delivered her at this point ?
> She was delivered of 3# 6 oz. 1532 gm apgar 9/9 male. It was noted that
> there was no hemoperitoneum and the uterine incision was closed.
>  
> This is where I am going to stop and see what you all think we found with
> our abdominal exploration.
>

I wouldn't be SURPRISED with a liver hematoma. If it's stable, leave it alone.

I think she had pretty obvious severe preeclampsia and the burden is on you to find some other etiology.

Course, it could just be gall bladder colic with some dehyration, etc. or some other galloping animal.

Joe P.





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