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Re: Bicornuate versus Septate uterus From: Garry E. Siegel, M.D. (garrys@mindspring.com) Tue Sep 4 09:31:03 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Insurance (long)" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Maternal Mortality Rate In U.S. Highest In Decades, Experts Say" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Bicornuate versus Septate uterus" Next in thread: Mark Jutras: "Re: Bicornuate uterus versus septate uterus" Thanks to all, and I will need to examine her closely PP to look for a vaginal septum and a cervix count. The septum did not go all the way to the cervix, so I suspect that she only has one cervix and no vaginal septum. That said, as Dan has educated us, it is easy to miss unless you look. Like Dan, I have found a few uterine anomalies at repeat C/S, and hope that the MD simply forgot to put it in the op note. However, when the patient has been asked "Was anything mentioned to you about your uterus?" they've said no. Septum resection would have been inappropriate at best. FWIW, I agree that an IVP is needed to delineate ureters. Thanks to all, Garry At Tue, 4 Sep 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >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. >> >I would do IVP if future surgery even c-section is planed, they often >have kidneys where you least expect them and often have two ureters on >one side. Unlikely she has an outflow tract obstruction this late in >the diagnosis. I would do nothing and warn her she is at risk for >prem-labour,repeat breach or transverse lie; if she should have two late >first or early second trimester losses I would consider resection if she >has a more classical large septum Vs. actual duplication. > >-- > Take care, John > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Re: Insurance (long)" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Maternal Mortality Rate In U.S. Highest In Decades, Experts Say" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Bicornuate versus Septate uterus" Next in thread: Mark Jutras: "Re: Bicornuate uterus versus septate uterus"

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