Re: Isthmical-Cervical_ectopic_pregnancy

From: zalel (zalel_y@netvision.net.il)
Fri Jun 8 09:24:09 2001


Dr. Bacigalupo!

First of all you have to cheque if it's not a threatened abortion. If it's not and you diagnose a cervical pregnancy, eccept for MTX suggested in the literature, we use in our department Cervical suture (Shirodkar) with aspiration of the gest sac. It works well

Best regards

Yaron Zalel, MD

>----- Original Message -----
From: "Terry J DuBose" <tjdubose@juno.com> To: "Multiple recipients of list ULTRASOUND" <ultrasound@mail.medispecialty.com> Sent: Wednesday, June 06, 2001 12:45 PM Subject: Re: Isthmical-Cervical_ectopic_pregnancy

> Dr. Bacigalupo, I have not seen a cervical pregnancy as late as 10 weeks.
> The FHR should be faster than 150-155 B/M at that time
> (http://www.obgyn.net/us/cotm/0001/ehr2000.htm )... I suspect that it is
> an impending loss.
>
> We would be pleased to post a couple of good images of this case once you
> know the outcome, if you wish.
>
> Thanks for your participation, and good luck.
>
> Terry J DuBose, M.S., RDMS, APS
> Little Rock, Arkansas USA
>
> ------------------------------------------------
>
> ------------------------------------------------
> On Wed, 6 Jun 2001 02:02:38 -0300 "Cecilia L. Bacigalupo"
> ------------------------------------------------
> <bacigalupo@way.com.ar> writes:
> > A patient received this diagnosis today (Abdominal scan)...Apparently
> > itīs a 10 w pregnancy, located at 2mm from the external
> > os,intracervical...
> > By tomorrow Iīll get the images,(only a phone call till now).
> > She was told about surgery, MTX,etc.
> > Iīve only seen 3 cervical pregnancies and would like to forget the
> > experience...
> > I think itīs probably only a low implantation, or perhaps missed
> > abortion, but Iīm curious.
> > An Internet search wasnīt very enlightening.
> > Have any of you ever seen one of these alive at 10.2 w, FHR
> > 134,patient not bleeding, mild pelvic pain?
> > Please forgive my english...never was good and doesnīt get better
> > with sleepless working nights.
> > Thanks .
> >
> > Cecilia Bacigalupo,MD.
> > La Plata,
> > Argentina.
> > bacigalupo@way.com.ar
> >
>




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