Re: Spontaneous Uterine Rupture

From: art fougner, md (evsono@pipeline.com)
Wed Jul 11 10:04:32 2007


Terry

I've found the best time to evaluate the previous Cesarean scar is when the patient is not pregnant, preferably during a sonohysterogram. I can usually identify the incision site and often see what's described as a "scar diverticulum."

I find OB's requests for my assessment of the LUS in the third trimester singularly unrewarding.

Art

At Wed, 11 Jul 2007, DuBose, Terry wrote: >
>This is an interesting and cautionary case.
>
>"She was sent for obstetric USS which gave only indication of ascites + the
>strongly
>she could have ruptured her uterus (fetal parts were easily palpable), we
>decided to explore."
>
>ous_Ut
>erine_Rupture
>
> It would be nice to be able to see the sonograms from this case. While
>technology cannot solve all medical problems, we can diagnose much more than
>we can cure, it is also often the case that sonography fails to provide the
>proper diagnosis because the operator is not properly educated. But that is
>the biased opinion of a sonographer educator.
>
>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 or 501-686-5948
>DuBoseTerryJ@UAMS.edu
>http://www.uams.edu/chrp/sonography/
>http://www.obgyn.net/us/panel/panel.htm
>http://www.io.com/~dubose/
>---------------------------------------------------------------
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>message.

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton



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