Re: Extracoelomic cavity

From: The-Hung Bui (The-Hung.Bui@ks.se)
Tue May 29 10:18:07 2001


>From DuboseTerryJ@uams.edu Tue May 29 10:18:04 2001
Received: from exchange1.uams.edu (exchange1.uams.edu [144.30.1.148]) by mail.medispecialty.com (8.9.3/8.9.3) with ESMTP id KAA20683 for <ultrasound@obgyn.net>; Tue, 29 May 2001 10:18:03 -0500 From: DuboseTerryJ@uams.edu Received: by exchange1.uams.edu with Internet Mail Service (5.5.2653.19) id <KN1D65YB>; Tue, 29 May 2001 10:18:03 -0500 Message-ID: <FA16403E0560D211B453006097CEBBBE092FA5C7@exchange2.uams.edu> To: ultrasound@obgyn.net, ultrasound@mail.medispecialty.com Subject: Re: Extracoelomic cavity Date: Tue, 29 May 2001 10:18:01 -0500 MIME-Version: 1.0 X-Mailer: Internet Mail Service (5.5.2653.19) Content-Type: text/plain; charset="iso-8859-1"

It sounds like there may osmotic pressures which causes the "more viscous coelomic fluid" to become condensed or inspissated. Is this correct? Is there any indication of how this "fluid" is involved with the fusion of the amnion and chorion?

Thanks for your very interesting and informative input.

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.uams.edu/CHRP/dmshome.htm http://www.obgyn.net/us/panel/panel.htm

-----Original Message----- From: The-Hung Bui [mailto:The-Hung.Bui@ks.se] Sent: Tuesday, May 29, 2001 9:43 AM To: Multiple recipients of list ULTRASOUND Subject: Re: Extracoelomic cavity

At 07:38 2001-05-29 -0500, you wrote: >Dear Dr. Bui, Udayakumar, et al...
>
>I think we would still like to see the PowerPoint presentation... also,
>can anyone shed light on the "magma reticular" that is in the "chorionic
>cavity" around the amniotic membrane? Dr. Bui indicates it can be
>aspirated, the references I have say it "liquifies on touching", those
>two characteristics are not necessarily incompatible. What causes the
>low level echoes we see, while the amniotic fluid is clear? Is there
>some kind of a matrix with in it? What part does this substance play in
>the fusion or possible lack of fusion of the amnion and chorion?
>
>I will look up the references that have been mentioned here... but would
>like to see more discussion on this.
>
>Thanks. Terry J DuBose
>
>---------------------------------------------------------

Terry, >---------------------------------------------------------
Current experience (Dr Jauniaux, UCL, London, UK) suggests that aspiration >---------------------------------------------------------
(transvaginal US and 20G needle, the technique is similar to ovum pick-up) of coelomic fluid is close to 100% between 6-10 weeks. the more viscous coelomic fluid is most probably due to differences in total protein levels between the amniotic and coelomic compartments. Between 6 and 12 weeks the mean level of total protein is 54 times higher in the coelomic cavity than in the amniotic cavity. These observations, in my view, may well be the explanation of the low level echoes in the coelomic cavity.

***************************************************************** The-Hung Bui, M.D. Senior Consultant

--
Director, Fetal Diagnosis Programme
Department of Molecular Medicine
Clinical Genetics Unit
Karolinska Hospital
S-171 76 Stockholm, Sweden

phone: +46 8 517 74989 or 517 72472 (secretary) fax: +46 8 32 77 34 E-mail: The-Hung.Bui@ks.se ******************************************************************




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