Re: images
From: James Smeltzer (James.Smeltzer@wellstar.org)
Wed Jan 12 10:49:20 2005
Joe:
I think this represents a uterine synehia (very common) with stricture
(less common) rather than dehiscence of old uterine scar (very rare),
for following reasons.
1. Associated with distortion of uterine cavity, with uterus which
seems to continue around.
2. Does not appear to affect fetus or membranes otherwise (needs to be
confirmed with more views).
3. No anomalies seen - at least on these views.
This (assuming myometrium actually surrounds the area & that rest of
fetal scan is actually normal - and this is a stricture rather than an
opening in the uterus) is low risk as placental implantation is not
involved.
I had a patient with one of these who felt a "pop" and had vaginal
bleeding, preterm labor and ROM associated with one of these that broke
that involved the placenta.
I currently have one right now with a similar appearance except that
the placenta is implanted on both sides and is quite vascular. She is
at risk for antepartum and postpartum hemorrhage from this.
Jim
--
James S. Smeltzer, MD, FACOG, SMFM
Consultant, Maternal Fetal Medicine
Wellstar Physicians' Group
Northwest Women's Care
787 Campbell Hill St
Marietta GA 30060
James.Smeltzer@wellstar.org
VM 678-290-3035
Off 770-528-0260
Page 404-318-3451
>>> DuboseTerryJ@uams.edu 1/11/2005 3:28:41 PM >>>
It depends upon your ISP and email reader/editor. Several here
cannot
access the images. I have asked the web page administrators to add
the
image I sent to the Case images, but that will take a day or two
because
everything has to be reviewed and approved by the Editorial Advisory
Board before posting.
For the discussion of Dr. Joe Antony's case, the EAB just approved
public posting this morning... see:
http://www.obgyn.net/us/us.asp?page=/us/present/0501/antony_amnioticband
For more images/cases see:
http://www.obgyn.net/us/us.asp?page=gallery/gallery
http://www.obgyn.net/us/us.asp?page=cotm
Thanks for your participation.
Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
Associate 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/dms/default.asp
http://www.obgyn.net/us/panel/panel.htm
---------------------------------------------------------------
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-----Original Message-----
---------------------------------------------------------------
From: deet1959@comcast.net [mailto:deet1959@comcast.net]
Sent: Tuesday, January 11, 2005 1:46 PM
To: DuBose, Terry
Subject: images
I am enjoying the discussions on obgynnet, but cannot open any images
that are sent. Can you tell me why I may be missing them?
Thank you,
Beth Werner
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