Thomas Jefferson University Hospital

These images are graphic in nature, please be advised before viewing. Click the links below to view the images.

Multiple large condyloma (genital warts) excised
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10 cm dermoid ovarian tumor with hair, a brain, jaw bone, and 9 teeth
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Ultrasound of 1.5 cm intramural fibroid

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Teratoma (Ovarian Dermoid Cyst)

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Sonohystography

Equipment for sonohystography

Submucosal intracavitary fibroid or polyp

Filling defect in uterine cavity on HSG

Submucosal fibroid on SHG

Endometrial polyp

Intracavitary fibroid

Polypoid adenomyoma

SIN (Salpingitis isthmica nodosa) seen on HSG

Retroperitoneal ectopic pregnancy with 20 cm hematoma

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Cesarean section steps

Fascia After cutting through the mother’s skin and subcutaneous fat layers, the fascia is opened.

Fascia separated from underlying rectus muscles

Peritoneal cavity is entered. Bladder blade is placed, helping to expose the uterus

Bladder flap is made by incising lower uterine serosa, allowing the bladder to be pushed below the operative area

Low transverse uterine incision made with a scalpel

Uterine cavity is entered with bulging membranes protruding

Uterine incision is spread bluntly

A hand is inserted below the baby’s head to elevate and direct it through the uterine incision

Baby’s head delivered through the incision with a nuchal cord wrapped around its neck

Body delivered by applying pressure to the mother’s abdomen

Baby held by Dr. Jolene

Uterus is brought through the abdominal incision to repair it after the placenta is delivered.

Placenta ( Image 2, Image 3)

Uterine incision sutured closed

Side view of uterus, tube, and ovary

Fascia is sutured closed

Chorionic villi

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Forceps and vacuum for operative vaginal delivery

Forceps delivery of baby model

Kiwi Vacuum delivery

Forceps and vacuum

Forceps and vacuum with Dr. Geoffrey Bowers, MD, and friend

Ball of knots in umbilical cord
Ball of knots Ball of knots in umbilical cord discoved after a normal vaginal delivery that apparently did not affect umbilical cord blood flow.
Ball of knots and placenta

Baby with Gastroschisis
Gastroschisis Gastroschisis, incomplete closure of the abdominal wall, allowing the intestines and often liver to protrude.
Saline soaked guaze applied Abdominal contents protruding through gastroschisis defect are protected to prevent dehydration and heat loss
Lower body placed in plastic bag Abdominal contents protruding through gastroschisis defect are protected to prevent dehydration and heat loss
3D ultrasound of fetus with gastroschisis, Image 2 Imaging performed by Dr. George Bega

Inadvertent insulfation of omenterm
Image Image	At time of laproscopy. No treatment was needed or sequelae occurred.

Ectopic Pregnancy
Image	Ectopic pregnancy seen in dilated fallopian tube with blood in cul-de-sac.

Miscellaneous Images
Image	1 - 29 year old women - 7 weeks gestation with ectopic pregnancy seen during laparoscopy.
Image	2 - Electrocauterized scissors used to perform linear salpingostomy to open fallopian tube containing ectopic pregnancy.
Image	3 - After opening fallopian tube with electrocauter, irrigation was used to flush out ectopic pregnancy.
Image	4 - Umbilical Hernia
Image	5 - Dr. Goldberg with faculty from Symposia Medicus meeting in Big Sky, Montana, where he spoke on treatments for uterine fibroids