Re: Spontaneous Uterine Rupture

From: DuBose, Terry (DuboseTerryJ@uams.edu)
Wed Jul 11 12:40:18 2007


There was at least one article in the JUM on the appearance of C Section Scars... I'll see if I can find it... seems to have been in the last 10 years.

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/ ---------------------------------------------------------------

---------------------------------------------------------------

---------------------------------------------------------------

-----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of jworrall@alaska.net Sent: Wednesday, July 11, 2007 10:57 AM To: Multiple recipients of list ULTRASOUND Subject: Re: Spontaneous Uterine Rupture

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/
>>---------------------------------------------------------------
>>
>>---------------------------------------------------------------
>>=20
>>---------------------------------------------------------------
>>---------------------------------------------------------------
>>
>>---------------------------------------------------------------
>>---------------------------------------------------------------
>>
>>message.
>
> --
> art fougner, md
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>

Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.




recommended search...
Google
OBGYN.net forums endometriosis zone Web

use when must restrict search to only the ultrasound forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  Ultrasound Forum Mail a New Message to the Forum: ultrasound@obgyn.net
Forum Administrator: terry.dubose@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:37:07 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.