Re: Bicornuate versus Septate uterus
From: art fougner, md (evsono@pipeline.com)
Tue Sep 4 08:43:15 2007
Why IVP when a renal ultrasound will most certainly document the
presence of both kidneys as well as the configuration of the renal
pelvis?
Art
At Tue, 4 Sep 2007, R. Daniel Braun wrote:
>
>I agree with Steve, but you do need an IVP, if you didn't check the kidneys
>while the belly was open.
>
>BTW, I quit counting at twenty, the number of times that I was the first to
>diagnose a uterine anomaly at the time of REPEAT C/S. All but two of those,
>the first C/S had been for Breech, The other guy just didn't pay any
>attention to the uterus or else forgot to mention it.
>
>Dan
>
>On 9/4/07, Raymond Stephen <stephen.raymond@dhhs.tas.gov.au> wrote:
>>
>> Yes this is not a septate, or subseptate uterus, but bicornuate. What
>> do you want the imaging for? You have already eyeballed it and seeing
>> it on MRI would be of academic interest only.
>>
>> Steve
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry
>> E. Siegel, M.D.
>> Sent: Tuesday, 4 September 2007 12:07 PM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Gyn: Bicornuate versus Septate uterus
>>
>> Recently, I did a term breech section on one of our CNM patients who was
>> noted at around 8 or 10 weeks to have a bicornuate uterus (new
>> diagnosis).
>>
>> At surgery, she had a full septum, and the fundus had an indentation and
>> two equal halves.
>>
>> I assume that this is bicornuate, as opposed to sepate, given the
>> concavity on the external aspect of the fundus. . .correct?
>>
>> Anyway, would you simply image her with an MRI at 6 weeks? Does anyone
>> have any experience with this? Also, and I don't mean to sound crappy, I
>> wonder if this is a no-brainer for a radiologist who probably rarely
>> sees MRIs for Mullerian abnormalities.
>>
>> Garry
>>
>> --
>> Garry E. Siegel, M.D.
>> Private Practice
>> Roswell, GA
>>
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>--
>R. Daniel Braun, MD FACOG(L) CMT
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> "Science without Religion is LAME; Religion without Science is BLIND"
> Einstein 1941
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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