Re: Interstitial pregnancy
From: Wolfgang Moroder, M.D. (wolfgang.moroder@tin.it)
Tue Oct 7 11:13:07 2003
The pictures and comments on the laparotomic treatment of the
interstitial pregnancy are ready temporarely here for vision.
This is the appearance at opening:
http://apps.obgyn.net/ultrasound/photos_action.cfm?id=320
this is the repair of the uterus
http://apps.obgyn.net/ultrasound/photos_action.cfm?id=321
Write me for any question
Wolfgang
At Mon, 6 Oct 2003, Wolfgang Moroder, M.D. wrote:
>
>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
>
--
Wolfgang Moroder, MD
Prenatal Unit
Bolzano General Hospital Italy
