Re: Interstitial pregnancy
From: Wolfgang Moroder, M.D. (wolfgang.moroder@tin.it)
Mon Oct 6 14:30:41 2003
To see the videoclip (1.6 Megabyte) download from here:
ftp://ftp.obgyn.net/pub/ULTRASOUND/interstiziale.m1v
Wolfgang
At Mon, 6 Oct 2003, Wolfgang Moroder, M.D. wrote:
>
>Dear Terry. The videoclip is 1.6 MB. At this time it should be arrived
>(one never knows, once an e-mail took 4 full days to go to my next
>town...). Dscription of the clip: in a transvaginal coronal plane,you
>can see on the lefthand side of the fundus a flourishing pregnancy with
>an embryo of 9 weeks. In the last pictures of the clip a thin
>hypoechogenic endomiomitrial layer is more easily seen. The gestational
>sac is very eccentric. In none of the scans a connection of the chorion
>to the endometrial-decidual layer could be demonstrated. Although
>described in literature (Ackerman, Radiology 1993,189/1/83), I cannot
>recognize the "interstitial line sign".
>The patient refused treatment with methotrexate and left the hospital
>saying that she was leaving for Serbia. She returned on Saturday night
>with pain in the left lower abdomen. On Sunday night the pain worsened
>and on Monday mornig we decided to do a laparotomy for symptoms of
>haemoparitoneum. The patient had a previous laparotomy with
>salpingectomy for a left tubal pregnancy. On opening we found a
>moderate haemoperitoneum. The fundus uteri was covered with colon
>firmly attached to it. During accurate preparation and involuntary
>pressure on the fundus a 2.5 cm long fetus jumped out of the field. The
>thin layer of myometrium ruptured. All the chorion was accurately
>removed and the chorionic bed cleaned. The uterine opening was finally
>repaired with a continous suture.
>Best regards
>Wolfgang.
>
>At Sun, 5 Oct 2003, Terry J DuBose wrote:
>>
>>Wolfgang, I just got back to town.... How large is your MPG videoclip?
>>Could you email it directly to my university email... I can accept up to
>>about 5 megabytes there. Otherwise I think that Bruce or Kevin will
>>have to open a FTP site for you if it is a large file. It can be done,
>>but as a last resort there are CD ROMs and snail-mail.
>>
>>Thanks for being here. What can you tell us about the video?
>>
>>Peace, Terry J DuBose, M.S., RDMS
>>Little Rock, Arkansas USA
>>
>>On Sun, 5 Oct 2003 11:48:54 -0500 wolfgang.moroder@tin.it (Wolfgang
>>Moroder, MD) writes:
>>> To my experience (I am practicing OB-GYN in a major hospital since
>>> 30
>>> years) interstitial pregnancy is not as common as described in
>>> literature: 2-4% of all ectopic pregnancies. I'd like to submit a
>>> case
>>> in form of a short videoclip of a suspected interstitial pregnancy
>>> at 9
>>> weeks in order to collect some comments from the audience of this
>>> forum.
>>> Please let me know how I can post the clip which is in a MPG
>>> format.
>>> Best regards Wolfgang
>>>
>>> --
>>> Wolfgang Moroder, MD
>>> Prenatal Unit
>>> Bolzano General Hospital Italy
>>>
>--
>Wolfgang Moroder, MD
>Prenatal Unit
>Bolzano General Hospital Italy
>
--
Wolfgang Moroder, MD
Prenatal Unit
Bolzano General Hospital Italy
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