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Re: Isoimmunitation From: Terry J DuBose (tjdubose@juno.com) Fri Apr 26 18:21:55 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: jmtd: "problem with attachments" Previous message: José Manuel Torreblanca Doblas: "Isoimmunitation" Maybe in reply to: José Manuel Torreblanca Doblas: "Isoimmunitation" Any chance of posting some images? Thanks, Terry J DuBose On Fri, 26 Apr 2002 16:19:05 -0500 jmtd@inicia.es (José Manuel Torreblanca Doblas) writes: > Dear colleagues, this is a case of Rh-isoimmunitation. > I´m working at a Spanish town in North Africa bordering Morocco. > Spanish > laws permit the care of a foreign pregnant whenever she´s into > national > territory. So, we have to attend a lot of no controlled pregnancies > (high risk), with varied pathology. > I present a rare case of Rh isoimmunitation, fortunately not very > seen > nowadays. > G3P3: 1st. normal delivery, alive and healthy; 2nd, death a few > hours > after vaginal delivery; 3rd, stillborn, vaginal delivery. > Rh (-). Current gestation controlled by a private obgyn. 33 wk in > her > first visit to my office. Indirect Coombs from 1/32 to 1/64 in one > week. I perform an abdominal scan and observe: > - oedema scalp. > - right heart failure with discharge in pericardium, and increase of > right cavities and vessels (superior cava). > - important ascitis with increase of abdominal perimeter, and liver > and > intestinal handles floating in it. This image occupied all the u.s. > display. Amniotic fluid "normal". Placenta II/IV. > I have pics of head, and abdomen, that will send you in the next > messages. > This case is interesting because we cannot see it often. This > patient > was sent to a 4th level hospital. > > -- > José M. Torreblanca Doblas > Ob/Gyn Ph > Hospital Comarcal de Melilla > Spain > http://medpages.obgyn.net/torreblanca Next message: jmtd: "problem with attachments" Previous message: José Manuel Torreblanca Doblas: "Isoimmunitation" Maybe in reply to: José Manuel Torreblanca Doblas: "Isoimmunitation"

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