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Uterine synechial portholeFrom: Martin Necas and Tania Keep (exiled@clear.net.nz)Sat Jan 9 17:40:38 1999
Dear Colleagues, What an exciting discussion. Again, due to time-space delay, I come quite late into the conversation. I agree with the hypothesis that this represents a unique, but benign synechial band. I don't think that synechia have ever been reported to cause mechanical constriction of the fetus, and therefore this finding would not, in my opinion, warrant aggressive intervention. This is quite different from amniotic bands, which have been reported as constrictive bands causing indentations, and amputations in a fetus. When I looked at the pictures, I was trying to visualize how the fetus would have developed seemingly inside a "porthole" of a synechia. Although it is quite puzzling, one explanation that occurred to me is a possibility that this is a wide curved synechia in one part of the uterus and the fetus is curled around this synechia. In sectional views, this might appear as if the fetus is actually going through a hole in the synechia. I am attaching a drawing which may explain what I mean: Martin Necas, RDMS, RVT Waikato Hospital, Hamilton, New Zealand.
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