ULTRASOUND Messages for January, 1999: Fwd: Uterine synechial porthole

Fwd: Uterine synechial porthole

From:

Ultravas99@aol.com

Sun Jan 10 21:32:24 1999

Kelly

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Kelly,

I had no adverse outcomes with intrauterine synichiae until one that involved the placenta snapped and the patient had a partial abruption (the patient felt it snap), preterm labor, PROM and delivered at 23 weeks 5 days. I saw the baby when she should have bee six months old just before Christmas and she sits without support, so you could say there was no adverse outcome there (but five monthis in intensive care, and touch and go for many weeks).

I worried for months about the one I had discovered at 16 where the baby was caught crawling through a window, and that one ended well at full term.

One medical rule of thumb that is never wrong - never say never.

JSS

At 04:27 PM 1/9/1999 EST, you wrote: >Concerning the uterine synechiae, I have seen several of these and have
>followed them through to term, have had no adverse outcomes, all delivered
>normal vaginal deliveries. The first time I saw this, I was very alarmed, but
>after looking up the pathophysiology with some references that the
radiologist >had, it was determined that the synechial band is part of the uterine cavity
>and not inside of the sac. It will grow with the uterus. The fetus can easily
>move on both sides of this. The ones that we had followed had some
diminuition >in the amount of fluid on the other side of it, but not to a point that fetal
>parts would be trapped. Also went to a lecture given by a highly respected
>perinatologist who had this as his topic, no problems associated with it.
>
>Kelly RDMS, RVT, RDCS
>

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