Re: Spontaneous Uterine Rupture
From: jworrall@alaska.net
Wed Jul 11 10:55:53 2007
Two thoughts:
1- This may be common knowledge to everyone, but it is almost always
possible to see the C Section scar during the nonpregnant transvaginal
ultrasound. It is also almost always possible to see them during the
transvaginal first trimester genetic screen.
2- I wonder if there is a body of published reports relating the appearance
of the C Section scar when not pregnant or in the first trimester, to the
integrity of that scar during the pregnancy? I have seen a number of scars
that would worry me if I were the responsible obstetrician, (and I always
describe these scars in my report) but I never get any feedback.
Allen
>----- Original Message -----
From: "art fougner, md" <evsono@pipeline.com>
To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net>
Sent: Wednesday, July 11, 2007 7:06 AM
Subject: Re: Spontaneous Uterine Rupture
> 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
>
