Re: yolk sac

From: Terry J DuBose (tjdubose@juno.com)
Sun May 27 21:12:07 2001


Dr. Udayakumar, I think it might be easiest to just post it on OBGYN.net and let anyone download.

--
Terry J DuBose.

On Sun, 27 May 2001 14:35:03 -0500 "Daniel Margulies" <danymarg@movi.com.ar> writes: > Dear Dr. Udayakumar > > I think that all of us will like that presentation > Yhanks you in advance > > -----Mensaje original----- > De: udaya kumar <udaya@md2.vsnl.net.in> > Para: Multiple recipients of list ULTRASOUND > <ultrasound@mail.medispecialty.com> > Fecha: Viernes, 25 de Mayo de 2001 10:20 p.m. > Asunto: Re: yolk sac > > >Dear Terry, > >The extraamniotic space has a fluid that can been aspirated > Coelocentesis) . > >Using FISH probes it appears that Karyotyping is possible at 6weeks > gestation. > >Made a powerpoint presentation on Coelocentesis in a recent > conference. > Will > >post it to you if you want it. > >.Udayakumar > > > >DuboseTerryJ@uams.edu wrote: > > > >> According to Moore & Persaud, DEVELOPING HUMAN: Clinically > Oriented > >> Embryology, W. B. Saunders, 1993 p. 40-46 & 70-80; what we see > >> sonographically is actually the "secondary yolk sac". The > "primary yolk > >> sac" develops earlier (during 3rd LMP week, i.e. 9 days after > conception) > >> and is too small to visualize sonographically. The secondary > yolk > develops > >> around conceptual day 13 (start of 4 LMP week). > >> > >> You are correct in that the yolk is related to the formation of > the fetal > >> gut. Moore & Persaud has a great graphic representation of this > process > on > >> page 71. The amnion forms around the embryo and separates or > "squeezes" > the > >> yolk sac from the midgut and intraembryonic coelom at about 26-28 > post > >> conception. > >> > >> An interesting bit of trivia... I had always wondered what the > "choronic > >> cavity" outside the amnionic sac contained... I was sure that it > was not > a > >> vacuuume, but could not find any reference other than "cavity". > Finally > >> during research for FETAL SONOGRAPHY, I found the answer in: > Benirschke > K; > >> "NORMAL DEVELOPMENT", Chapter 4; in Creasy RK and Resnik R, > Editors; > >> MATERNAL-FETAL MEDICINE: Principles and Practice, 2nd Edition; W. > B. > >> Saunders Company, 1989; p. 117. > >> "As the pregnancy progresses the thin amniotic membrane enlarges > and will > >> contain the embryo, the yolk sac will remain outside the amnion. > See > Figure > >> 16-12C. The amniotic sac with it's embryo, and the yolk sac are > all found > >> within the so called "gestational sac". This gestational sac is > actually > the > >> chorionic cavity. The chorionic space around the amniotic sac is > filled > >> "...by a gel that liquefies upon touching, the magma reticulare." > This > magma > >> reticulare has a slightly echogenic appearance when compared to > the very > >> clear amniotic fluid; see Figure 16-12C. The magma reticulare is > also > called > >> the "chorioamniotic accumulation" and is a normal finding before > the > amnion > >> and chorion fuse." See: DuBose, FETAL SONOGRAPHY, W. B. Saunders > Co., > 1996, > >> p. 370. > >> > >> Terry J. DuBose, M.S., RDMS, Assistant Professor > >> Director, Diagnostic Medical Sonography Program > >> CHRP, University of Arkansas for Medical Sciences > >> Little Rock, Arkansas, USA > >> 501-686-6510 > >> http://www.io.com/~dubose/ <http://www.io.com/~dubose/> > >> http://www.uams.edu/CHRP/dmshome.htm > <http://www.uams.edu/CHRP/dmshome.htm> > >> > >> http://www.obgyn.net/us/panel/panel.htm > >> <http://www.obgyn.net/us/panel/panel.htm> > >> > >> -----Original Message----- > >> From: Dr. N. A. Mohile [mailto:namohile@satyam.net.in] > >> Sent: Friday, May 25, 2001 10:42 AM > >> To: Multiple recipients of list ULTRASOUND > >> Subject: yolk sac > >> > >> The round structure seen within the gestation sac by 5 weeks and > called > yolk > >> sac is visible even at 12 weeks outside the amniotic > sac.Embryologically > >> yolk sac forms the gut.Is this structure really yolk sac? > >> -Nila. > > >




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