ULTRASOUND Messages for January, 2003: Re: Two Yolk Sacs, one embryo

Re: Two Yolk Sacs, one embryo
From: wolfgang.moroder@tin.it
Fri Jan 31 02:00:20 2003

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Next message: Albana: "Re: Two Yolk Sacs, one embryo"
Previous message: Terry J. DuBose: "Re: Two Yolk Sacs, one embryo"

I am afraid that you are too worrisome for the fate of one of the two twins, I think that it is rather the size then the shape of the yolk sac which is predictive of a negative outcome of the pregnancy. I send you Terry a picture of an early mono/di with a squeezed yolk sac which had a perfect outcome. Why is the next scan scheduled only at 12 wks? Regards Wolfgang
At Thu, 30 Jan 2003, Terry J. DuBose wrote: >
>We have revised Dr. Libardi's case of early twins... he has provided follow-up today. We have removed the "double bleb" information, which was clearly not applicable in this case.
>>http://www.obgyn.net/us/us.asp?page=/us/present/0301/libardi_oneembryo
>
>Using Dr. Libardi's measurements in BASIC BABY software to estimate ages, I got the following:
>Larger embryo:
>CRL = 8.7 mm = 6.9 weeks
>EHR = 139 b/m = 6.8 weeks
>Smaller embryo:
>CRL = 7.7 mm = 6.7 weeks
>EHR = 129 b/m = 6.4 weeks
>
>Based upon the CRL age of 5w5d on Jan. 21, 2003, an age of about 6.9 weeks would be expected today. The report of one irregular sac is worrisome, but based on the measurements, these look very much like normal, yet slightly discordant twins.
>
>The 12 week follow-up will be anxiously awaited.
>
>Thanks for a great case from which all of us can learn.
>Peace, Terry J DuBose
>
>Susan.Dale@obgyn.net writes:
>> Case has been updated with his comments and one new image. Please let me know if this is what we want:[ http://www.obgyn.net/us/us.asp?page=/us/present/0301/libardi_oneembryo ]http://www.obgyn.net/us/us.asp?page=/us/present/0301/libardi_oneembryo
>>
>>Thanks, Susan
>>
>Peace, Terry J. DuBose, M.S., RDMS
>Assistant Professor & Director, Diagnostic Medical Sonography Program
>University of Arkansas for Medical Sciences, CHRP
>4301 West Markham St. Mail Slot #563
>Little Rock, Arkansas, 72205 USA
>501-686-6510
>DuBoseTerryJ@UAMS.edu
>http://www.io.com/~dubose/
>http://www.uams.edu/CHRP/dmshome.htm
>http://www.obgyn.net/us/panel/panel.htm

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