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Archive for the ‘Academic OB/GYN Cases’ Category

Academic OB/GYN Cases: The House of Twins

January 2, 2011 4 comments

This is a nice photo of a diamniotic/dichorionic placenta, part of a pregnancy involving two separate embryos in the same uterus.

Note the thick intervening membrane and lack of blood vessels traveling between the two placental discs, both characteristic of a di/di placenta.

Academic OB/GYN Cases: Another Day, Another Dermoid

December 10, 2010 1 comment

First blonde one for me.   Gotta catch ‘em all!

Surgical Video – Large Dermoid Cyst with Abdominal Pain

Case: a 30 year old woman presents to the ED with acute left lower quadrant pain.  A CT showed pelvic fluid and a 8 cm teratoma in the right lower quadrant.

Academic OB/GYN Cases: Abdominal Cerclage How-To

February 27, 2010 75 comments

I had the opportunity to do an abdominal cerclage with one of my MFM colleagues this week, which was fantastic.   This is a procedure that is rarely done, and for me is something pretty new.  I had the opportunity to do a few of these in residency, but hadn’t done one for over 5 years and never in a pregnant woman, so that was a great envelope-pushing experience for me.

For my colleagues that haven’t had the opportunity to do one of these procedures, I want to lay out how its done.  In short, the goal is to place a cerclage between the ascending and descending branches of the uterine arteries, at the connection of the lower uterine segment and internal cervical os.  When you’re done it should look something like this -

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Academic OB/GYN Cases – Cervical Ectopic Pregnancy

February 9, 2010 12 comments
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