scholarly journals Actinomycotic Endocarditis of the Eustachian Valve: A Rare Case and a Review of the Literature

2015 ◽  
Vol 42 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Anupama Kottam ◽  
Ramanjit Kaur ◽  
Deepti Bhandare ◽  
Hammam Zmily ◽  
Suchita Bheemreddy ◽  
...  
Keyword(s):  
Rare Condition ◽  
Good Health ◽  
Contraceptive Device ◽  
Intravenous Drug Abuser ◽  
Eustachian Valve ◽  
Actinomyces Species ◽  
Pelvic Masses ◽  
Intrauterine Contraceptive ◽  
Mobile Mass ◽  
Antibiotic Agents

Eustachian valve endocarditis caused by Actinomyces species is extremely rare. A literature review revealed only one reported case—caused by Actinomyces israelii in an intravenous drug abuser. Our patient, a 30-year-old woman who at first appeared to be in good health, presented with fever, a large mobile mass on the eustachian valve, and extensive intra-abdominal and pelvic masses that looked malignant. Histopathologic examination of tissue found in association with an intrauterine contraceptive device revealed filamentous, branching microorganisms consistent with Actinomyces turicensis. This patient was treated successfully with antibiotic agents. In addition to presenting a new case of a rare condition, we discuss cardiac actinomycotic infections in general and eustachian valve endocarditis in particular: its predisposing factors, clinical course, sequelae, and our approaches to its management.

scholarly journals Secondary infertility due to intrauterine fetal bone retention: A case report and review of the literature

2019 ◽  
Author(s):  
Atossa Mahdavi ◽  
Sasan Kazemian ◽  
Emad Koohestani
Keyword(s):  
Pregnancy Termination ◽  
Semen Analysis ◽  
Uterine Cavity ◽  
Rare Condition ◽  
Contraceptive Device ◽  
Secondary Infertility ◽  
Fetal Bone ◽  
Intrauterine Contraceptive ◽  
Bone Fragments ◽  
Term Baby

Background: Intrauterine retention of fetal bone fragments is a rare condition that could happen after abortion (especially illegal abortion). It can cause secondary infertility as bon fragments can work as an intrauterine contraceptive device. Case: A 25-year-old Iranian woman was referred to Shariati Hospital due to infertility. During infertility work up to normal semen analysis, adequate ovarian reserve with regular ovulatory cycles was documented. An ultrasound scan revealed focal echogenic shadowing lesions inside the uterine cavity. Hysteroscopy was conducted and many intrauterine bone fragments were revealed. Six months after hysteroscopic removal of fetal bones, the patient became pregnant and delivered a healthy and term baby. Conclusion: Intrauterine fetal bone retention is a scarce event that happens after pregnancy termination due to the incomplete evacuation of fetal tissues. It can cause dysfunctional uterine bleeding, menorrhagia, dysmenorrhea, pelvic pain, abnormal vaginal discharge, and secondary infertility. The detection of the problem and the removal of the remained bones by hysteroscopy have made possible to treat the patient safely and restore normal uterine function and female fertility.

scholarly journals Rare cause of ovarian mass

2018 ◽  
pp. bcr-2018-225564
Author(s):  
Deepa Shunmugam ◽  
Sundaram Shanmugasundaram ◽  
Anitha Gandhi
Keyword(s):  
Clinical Signs ◽  
Rare Condition ◽  
Contraceptive Device ◽  
Ovarian Malignancy ◽  
Rare Entity ◽  
Ovarian Mass ◽  
Radiological Findings ◽  
Intrauterine Contraceptive ◽  
Pelvic Actinomycosis ◽  
Proper Diagnosis

Pelvic actinomycosis is a rare entity that occurs almost exclusively in women, the presentation of which is usually non-specific and variable. Pelvic actinomycosis is almost always associated with the use of an intrauterine contraceptive device (IUD). Pelvic actinomycosis unrelated to IUD use is almost always associated with previous surgical procedures. The symptoms, clinical signs and radiological findings are usually non-specific, mimicking an ovarian malignancy. So an awareness of this rare condition and a proper diagnosis can avoid unnecessary surgeries because these cases can be treated with a prolonged course of antibiotics. We present a case of pelvic actinomycosis which masqueraded as an ovarian malignancy.

Rectovaginal Fistula Due to Missing Intra Uterine Contraceptive Device

2018 ◽  
Vol 13 (2) ◽  
pp. 64-66
Author(s):  
Alexander Bambala Kawimbe
Keyword(s):  
Rectovaginal Fistula ◽  
Psychological Symptoms ◽  
Control Measure ◽  
Obstetric Care ◽  
Contraceptive Device ◽  
Poor Access ◽  
Healthy Female ◽  
Intrauterine Contraceptive ◽  
Affected Woman ◽  
Rare Situation

Rectovaginal fistula is an abnormal communication between the rectum and the vaginal. This leads to uncontrollable passage of feces and flatus through the vagina. It therefore causes distressing physical, social and psychological symptoms on the affected woman. The commonest cause of Rectovaginal Fistula is obstetric trauma commonly in developing countries with poor access to Obstetric care or substandard care provision. The case reported here highlights a rare situation in which a birth control measure of Intrauterine Contraceptive Device (IUD) in a 36 years old healthy female leads to a high Rectovaginal fistula.Keywords: fecal incontinence, missing IUD, rectovaginal fistula

scholarly journals Impact of immediate postpartum insertion of TCu380A on the quantity and duration of lochia discharges in Tanzania

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Projestine Selestine Muganyizi ◽  
Grasiana Festus Kimario ◽  
France John Rwegoshora ◽  
Ponsian Patrick Paul ◽  
Anita Makins
Keyword(s):  
Service Providers ◽  
International Federation ◽  
Teaching Hospitals ◽  
Evidence Based ◽  
Contraceptive Device ◽  
Postpartum Contraception ◽  
Gynecology And Obstetrics ◽  
Intrauterine Contraceptive ◽  
The Difference

Abstract Background The insertion of Intrauterine Contraceptive Device (PPIUD) for the purpose of contraception immediately after delivery is becoming popular in countries where the use of IUD for contraception has been extremely low. Since 2015, Tanzania implemented the initiative by the International Federation of Gynecology and Obstetrics (FIGO) to institutionalize PPIUD. As a result of capacity building and information delivery under the initiative, there have been increased uptake of the method. Working in this context, the focus of the study was to generate evidence on the effect of TCu380A IUD on amount and duration of lochia and equip service providers with evidence-based knowledge which can help them in counselling their PPIUD clients. Objective Establish impact of postpartum TCu380A on amount and duration of lochia. Methods A prospective cohort study of delivered women in two teaching hospitals in Tanzania with immediate insertion of TCu380A or without use of postpartum contraception in 2018. TCu380A models; Optima (Injeflex Co. Brazil) and Pregna (Pregna International, Chakan, India) were used. Follow-up was done by weekly calls and examination at 6th week. Lochia was estimated by Likert Scale 0–4 relative to the amount of lochia on the delivery day. An estimated 250 women sample (125 each group) would give 80% power to detect a desired 20% difference in the proportion of women with prolonged lochia discharges among the Exposed and Unexposed groups. Data analysis was by SPSS. Results Two hundred sixty women were analysed, 127 Exposed and 133 Unexposed. Medical complaints were reported by 41 (28.9%) Exposed and 37 Unexposed (27.8%), p = 0.655. Lack of dryness by end of 6th week was to 31 (23.3%) Exposed and 9 (7.1%) Unexposed, p < 0.001. Exposed had higher weekly mean lochia scores throughout with the difference most marked in 5th week (3.556 Versus 2.039, p < 0.001) and 6th week (1.44 Versus 0.449, p<0.001). Conclusion PPIUD is associated with increased amount of lochia and slows progression to dryness within 6 weeks of delivery. The implications of PPIUD clients’ needs to be informed about the possibility of delayed dryness of lochia at time of counseling are discussed.

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