27 December 2016

Amniocele dramatically illustrated

As reported by the New England Journal of Medicine:
A 33-year-old asymptomatic woman (gravida 6, para 5) presented at 22 weeks of gestation with a large herniation of the amniotic sac through the left uterine wall that was detected by routine ultrasonography. She had had five previous cesarean sections through a transverse incision of the lower uterine segment and no previous vaginal deliveries... At 30 weeks of gestation, a healthy male newborn weighing 1385 g was delivered by cesarean section.
The five previous C-sections had resulted in a weakened uterine wall, through which the fetus' legs extended.  Impressive image.

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