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Re: ? ectopic pregnancy From: art fougner, md (evsono@pipeline.com) Mon Mar 15 08:20:10 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Tracy L. Trull: "[Fwd: Add URL response 29058 from 195.210.82.246 Mozilla/4.0" Previous message: art fougner, md: "Re: pseudofunnelling of uterus" In reply to: Juan Carlos Otero: "Urgent Reply please" Martin - in my book nothin wrong with that. far better to take a look than to sit on an unstable situation. art At Mon, 15 Mar 1999, Martin Necas and Tania Keep wrote: > >Dear Juan, > >It appears to me that your clinical suspicion of ectopic pregnancy does not >warrant immediate intervention. In this case, your other option is to wait >until the bHCG is >1000-1500 and repeat the transvaginal ultrasound. You >should be able to identify a gestational sac in the uterus if this is an >early intra-uterine pregnancy. If there is no evidence of IUP, look for >adnexal mass, or free fluid as signs indicating an ectopic pregnancy. > >Unfortunately, ultrasound can be prone to diagnostic errors. Not too long >ago we had a patient with acute RLQ pain, slight bleeding, bHCG around 700, >no identifiable IUP, adnexal mass, and free fluid with debris (hemorrhage). >The patient was rushed to theatre where laparoscopy revealed a hemorrhagic >corpus luteum, but no ectopic pregnancy. > >Yours, > >Martin Necas, RDMS, RVT >Sonographer >Waikato Hospital, Hamilton, NZ > >-----Original Message----- >From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Juan >Carlos Otero >Sent: Monday, March 15, 1999 10:04 AM >To: Multiple recipients of list >Subject: > >Dear friends > >I have a case : It is a woman 29 years old, who has 6.2 weeks . She went to >the hospital for pain . Her vaginal ultrasound scaner has not sac in utero >or out side. Her firts sub beta gonadotopin was 435 we take other 48 hours >late and is 819, we where thinking at the firts time in probabli ectopic >precnancy but with the gonadotopin incresing to doble maybe could be >early pregnancy . What do you thing?. her hemoglobin is 13 and she has not >pain now. -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: Tracy L. Trull: "[Fwd: Add URL response 29058 from 195.210.82.246 Mozilla/4.0" Previous message: art fougner, md: "Re: pseudofunnelling of uterus" In reply to: Juan Carlos Otero: "Urgent Reply please"

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