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Re: What is a Cornual Pregnancy??? YikesFrom: James S Smeltzer MD (gaperina@mindspring.com)Sun May 23 08:54:04 1999
KNIX, If something looks gross to you, perhaps it is because you don't know much about the field. YOUR point was?????? MY point was that a pregnancy in a non-blind uterine cornu is at increased risk for incompetent cervix & preterm, but not life-threatening to the mother. An interstitial ectopic is recognizeable by the bulging out of the uterus - giving the appearance of mickey mouse's ear - a little picture EVERY OB sonographer should have in their brain. Perhaps I was not clear about that part. As a sonographer knowing that picture is VERY important because the natural history of these is to get to about 14-16 weeks and rupture catastrophically (every state has a few women die every year from ectopics - and these are the ones that die). The TREATMENT [This WEB site IS called OBGYN.net] is very gratifying because it saves the mother's life by the quite simple operation that is wedge resection of the cornu and 3 to 5 stitches to close it. My intent was to reinforce the little picture of the mickey mouse ear, the importance of immediate treatment, the simplicity of the operation & the high we get from saving a life -- your comment leads me to believe that I was not sufficiently clear to help you understand these things. You may not understand the high that comes from saving a life with 3 stitches. If this part gets to you, please hang at soundadvice@listbox.com, because it is a legitimate part of what we do as OBGYNs & a part we really like.
Jim S MD
At 03:54 PM 5/20/1999 -0500, you wrote:
>At Thu, 20 May 1999, James S Smeltzer MD wrote:
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