Re: What is a Cornual Pregnancy??? Yikes
From: James S Smeltzer MD (gaperina@mindspring.com)
Thu May 20 11:37:07 1999
Guys,
Re cornual pregnancy vs interstitial ectopic: Remember this is a really
mickey mouse issue: Look for the ear! If there its
Heigh Ho, Heigh ho
Off to the OR we go!
We don't hedge we cut a wedge
& sew sew sew!
;-)> Jim S
Mixing my cartoon metaphors...again
At 03:08 PM 5/16/1999 -0500, you wrote:
>Mark,
>
>I have also seen thin cornu that appear to be worrisome. I agree that
>tincture of time may be necessary to resolve this issue, especially as a
>bicornuate uterine horn pregnant is much different from an interstitial
>ectopic- with a risk of prenaturity but not catastrophic hemorrhage unless
>a rudimentary horn. The pregnancy can usually be related to the
>endometrial stripe which, together with where the uterus grows, can usually
>discriminate.
>
>Jim Smeltzer MD
>
>At 10:21 AM 5/14/1999 -0500, you wrote:
>>..Run for the hills....make sure you have the highest trained medical team
>>you can.... Call the local medical school and ask to talk to the chief of
>>OB... the hint of cornual pregnancy brings chills to me cause I
>>understand it to be so threatening..... Now having said that I've seen
>>patients with very thin myometrial coverage go to term (close to the
>>cornua)..... so I'm convinced it's mostly a clinical decision....
>>IMHO.... Can I make another observation??? From my forays around the
>>net it is amazing to see that very learnered people disagree on all
>>matters of things.
>>
>>Mark
>>Texas Sonographer to the Stars
>>
>>On Fri, 7 May 1999 21:49:41 -0500 "Micheal R. Heritage"
>><heritage2@home.com> writes:
>>>I saw your name on the internet related to Ectopic Pregnancy and I
>>>have a question that you might be able to answer. My daughter is
>>>approx. 5 weeks pregnant. She had slight spotting and went to the
>>>doctor. An ultrasound and blood testing was done. Blood test
>>>results were normal.
>>>
>>>Ultrasound revealed Ectopic Corneal pregnancy. She was told that the
>>>pregnancy needed to be terminated. She did not and got a second
>>>opinion. The second opinion stated there should be no problem.
>>>Another ultrasound will be done in three days.
>>>
>>>My Question is what is an "Ectopic Corneal pregnancy"?
>>>Does this differ from a normal ectopic pregnancy? What are the risks?
>>>
>>>How can we be sure of what to advise her to do when the two doctors
>>>opinions are so differing?
>>>
>>>Thank you very much for your help if you can.
>>>
>>>Corrie Heritage
>>
>
