ULTRASOUND Messages for March, 1999: Fw: Porthole Synechia

Fw: Porthole Synechia
From: Joseph A Worrall (jworrall@alaska.net)
Tue Mar 23 08:49:32 1999

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Next message: art fougner, md: "Re: placenta- 19/03/99"
Previous message: dr. amit sengupta: "Re: placenta- 19/03/99"

Here is a report on the "porthole" case for those who have been following this. There are no images this time. This was my response to a query I received from Peg Beutler RDMS. -----Original Message----- From: Joseph A Worrall <jworrall@alaska.net> To: kpnb@voyager.net <kpnb@voyager.net> Date: Tuesday, March 23, 1999 6:32 AM Subject: Re: Porthole Synechia
>I scanned her yesterday: she is doing fine and is about 20 weeks now. After
>the missed appointment, she did come a few days later. That was about one
>month ago. At that time no longer saw the "porthole" but did see a band at
>the top of the uterus. The fetus was doing fine with normal growth. I did
>note an anterior low placenta (she has had a previous section, so she is at
>risk for accreta) with the lower edge of the placenta covering the internal
>os.
>
>Yesterday I could not find any evidence of the band. If that had been the
>first scan, I would have had no clue as to what had gone on. The lower edge
>of the placenta is just at, but no longer covers, the internal cervical os.
>I saw a normal hypoechoic zone between the bladder and the placenta.
>
>The baby is growing normally and I could find no anomaly. The cervix is
long >and closed, the cord inserts centrally in the placenta. I think I can see
>the cicatrix of the previous C Section just at the level of the internal
os. >
>I will post this same message to the listserv, with no additional images,
>because there was nothing seen of the previous excitement. So probably I
>will not make another report until she delivers.
>
>I am sure we will continue to monitor her with ultrasound, looking for
>placenta accreta.
>
>Thanks for asking.
>
>I just returned from San Antonio and the AIUM meeting. It was great! I took
>my internship at Brooke Army Hospital 1948-1949, and my residency there
>1953-1956, and that was the first time I have returned. Wow, has San
Antonio >changed!
>
>Allen Worrall
>

Next message: art fougner, md: "Re: placenta- 19/03/99"
Previous message: dr. amit sengupta: "Re: placenta- 19/03/99"

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