Complete uterus didelphia and stage 3 genital prolapse during the labor of a woman at 35–36 weeks of pregnancy while using intrauterine device

2020 ◽  
Vol 69 (2) ◽  
pp. 89-92
Author(s):  
Marina N. Mochalova ◽  
Lyubov A. Kuzmina ◽  
Anastasia Yu. Mironenko ◽  
Viktor A. Mudrov
Keyword(s):  
Cesarean Section ◽  
Clinical Case ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Genital Prolapse ◽  
Operative Delivery

A clinical case of operative delivery of a woman with stage 3 genital prolapse, which was diagnosed at 3536 weeks of gestation, is addressed in this article. The woman became pregnant while using intrauterine device. During cesarean section, the patient was diagnosed with complete uterus didelphia. In the abdominal cavity, between the two uteruses, a T-shaped intrauterine device was detected, with no signs of uterus perforation revealed.

scholarly journals Endometriosis as a Reason of Intraabdominal Bleeding in Pregnancy. Clinical Case

2019 ◽  
Vol 23 (3) ◽  
pp. 283-289
Author(s):  
Y. A. Revzoeva ◽  
E. Y. Shakurova
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Laboratory Tests ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Diagnostic Procedures ◽  
Reproductive Period ◽  
Diagnostic Methods ◽  
Dark Blood ◽  
Abdominal Bleeding

The article defines the significance and relevance of the problem of endometriosis during pregnancy. 10% of women in the reproductive period have different localization of endometriosis. 25% of pregnancies with endometriosis are complicated by preterm labor. The article presents a clinical case of intra-abdominal bleeding in a 28-year-old pregnant woman with retrocervical endometriosis at gestation age of 32 weeks and 6 days. The article covers the results of examination and special diagnostic procedures of intra-abdominal bleeding in pregnant women with retrocervical endometriosis. The main diagnostic methods were the study of past medical history, ultrasound examination, and laboratory tests. Due to their infrequency during pregnancy internal bleedings present difficulties in their diagnosis. Ultrasound reliably revealed a large amount of fluid in the abdominal cavity and small pelvis and excluded the presence of intrauterine bleeding. Clinical and laboratory tests indicated the severity of the patient's condition. Symptoms of moderate fetal distress were also identified. Therefore, a decision was made about an emergency delivery by the cesarean section followed by an abdominal revision. During the cesarean section, 500 ml of blood in the form of dark blood clots was found in the abdominal cavity. The condition of the premature newborn was in conformity with his gestational age. The source of bleeding were the of endometriosis on the back wall of the uterus. These focuses most likely caused hemoperitoneum. The revision of the abdominal cavity did not find any other foci of bleeding. The postoperative period was uneventful. The article provides general guidelines for the management of pregnant women with severe forms of endometriosis.

scholarly journals MIGRATION OF THE INTRAUTERINE DEVICE TO THE ABDOMINAL CAVITY

2017 ◽  
Vol 25 (2) ◽  
pp. 247-262
Author(s):  
D. A. Rahmonov ◽  
F. Sh. Rashidov ◽  
E. L. Kalmykov ◽  
M. M. Marizoeva ◽  
O. B. Bobdjonova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Uterine Cavity ◽  
Pain Syndrome ◽  
Pregnant Patient ◽  
Pelvic Cavity ◽  
And Migration ◽  
Laparoscopic Removal

The aim: demonstration of our experience of surgical treatment of patients with migrated intrauterine device (IUD) into the abdominal cavity. The results of surgical treatment of migrated IUDs in the pelvic cavity are summarized in 17 women. The average age of the patients was 33,23,4 years. The timing of implantation of the IUDs varied from 10 days to 24 months. In all cases, the intra operational finding was T-shaped a copper device. The reason behind the women's consultation was an increase in pain syndrome in the lesser pelvis (n=15), dysuric phenomenon (n=1) and the onset of pregnancy (n=1). Perforation of the uterus and migration of the spiral occurred from 10 days to 2 years after its implantation. All patients were operated laparoscopicaly. The average duration of operations was 45,510,5 minutes. In the postoperative period there were no complications from the pelvic organs and postoperative wounds. The period of hospitalization of patients was 3,50,7 days. In all cases there was a regression of clinical signs and recovery. In one pregnant patient (gestation period 5-6 weeks) the pregnancy proceeded without particular pathological abnormalities and resulted in the birth of a full-term child. Laparoscopic removal of the IUD migrating from the uterine cavity to the abdominal cavity is the method of choice in the treatment of this group of patients, avoiding development of intra- and postoperative complications and a shorter length of stay in the hospital. The effectiveness of the procedure reaches 100%. The most common cause of complication of the IUD is the perforation of the uterus during its implantation.

scholarly journals Perforated Peptic Ulcer Combined with Posttraumatic Diaphragmatic Hernia in Third Gestation Trimester: a Clinical Case

2021 ◽  
Vol 11 (3) ◽  
pp. 251-255
Author(s):  
V. S. Panteleev ◽  
I. B. Fatkullina ◽  
A. Kh. Mustafin ◽  
R. S. Khalitova ◽  
A. S. Petrov
Keyword(s):  
Peptic Ulcer ◽  
Pregnant Women ◽  
Diaphragmatic Hernia ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Perforated Peptic Ulcer ◽  
Favourable Outcome ◽  
Duodenal Perforation ◽  
Duodenal Ulcers ◽  
In Pregnancy

Background. Gastric and duodenal ulcers are extremely rare in pregnancy, according to published literature. Peptic ulcer is found in 1 per 4,000 pregnant women, a figure probably underestimated due to its hampered diagnosis in pregnancy. Pregnancy peptic ulcer is considered less expected. Perforated gastric and duodenal ulcers comprise about 1.5 % of total acute abdominal diseases, and the perforation rate in ulcer patients ranges within 5–15 %. This complication afflicts the ages of 20–40 years in men much more frequently than in women. Three perforation types occur: free into abdominal cavity (87 %), contained (9 %), into lesser omentum and retroperitoneal tissue (4 %).Materials and methods. The clinical case describes surgical management of posttraumatic diaphragmatic hernia-comorbid perforated gastric ulcer in a pregnant woman in third trimester. Surgery with postoperative patient management enabled for a favourable outcome.Results and discussion. Perforation-entailing gastric and duodenal ulcers in pregnant women have received negligible attention due to rarity in clinical practice. Paul et al. described 14 cases of duodenal perforation in pregnancy, all fatal.Conclusion. Early diagnosis of surgical pathology during gestation is still difficult contributing to the development of severe complications associated with high mortality. The patient’s admission to a level III interspecialty hospital was key to enable a timely consilium-driven decision of caesarean intervention for saving the child, diagnosing intraoperatively life-threatening complicated surgical diseases and opting for radical surgery that ended in a favourable outcome.

scholarly journals A rare clinical case of migration of intrauterine device into the bladder

2019 ◽  
Vol 11 (3) ◽  
pp. 182-184
Author(s):  
R.N. Trushkin ◽  
◽  
A.E. Lubennikov ◽  
N.A. Shevchenko ◽  
O.V. Polikarpova ◽  
...  
Keyword(s):  
Clinical Case ◽  
Intrauterine Device

scholarly journals Intrauterine Device Insertion during Cesarean Section in Women without Prenatal Contraception Counseling: Lessons from a Country with High Cesarean Rates

2019 ◽  
Vol 41 (08) ◽  
pp. 485-492
Author(s):  
Alberto Moreno Zaconeta ◽  
Ana Carolina Oliveira ◽  
Flavielly Souza Estrela ◽  
Thalia Maia Vasconcelos ◽  
Paulo Sergio França ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Section ◽  
Removal Rate ◽  
Intrauterine Device ◽  
Uterine Perforation ◽  
Cesarean Sections ◽  
Trial Of Labor ◽  
The Moment ◽  
Contraception Counseling

Objective The moment of admission for delivery may be inappropriate for offering an intrauterine device (IUD) to women without prenatal contraception counseling. However, in countries with high cesarean rates and deficient prenatal contraception counseling, this strategy may reduce unexpected pregnancies and repeated cesarean sections. Methods This was a prospective cohort study involving 100 women without prenatal contraception counseling. Postplacental IUD was offered after admission for delivery and placed during cesarean. The rates of IUD continuation, uterine perforation, and endometritis were assessed at 6 weeks and 6 months, and the proportion of women continuing with IUD at 6 months was assessed with respect to the number of previous cesareans. Results Ninety-seven women completed the follow-up. The rate of IUD continuation was 91% at 6 weeks and 83.5% at 6 months. The expulsion/removal rate in the first 6 weeks was not different from that between 6 weeks and 6 months (9 vs 9.1%, respectively). There were 2 cases of endometritis (2.1%), and no case of uterine perforation. Among 81 women continuing with intrauterine device after 6-months, 31% had undergone only the cesarean section in which the IUD was inserted, 44% had undergone 2 and 25% had undergone 3 or more cesarean sections. Conclusion Two thirds of the women who continued with IUD at 6 months had undergone 2 or more cesarean sections. Since offering trial of labor is unusual after 2 or more previous cesareans, we believe that offering IUD after admission for delivery may reduce the risk of repeated cesarean sections and its inherent risks.

Delivery of a pregnant woman with placenta accreta and uterine scar after cesarean section with the formation of placental hernia. A clinical case

2020 ◽  
Vol 6_2020 ◽  
pp. 141-146
Author(s):  
Barinov S.V. Barinov ◽  
Tirskaya Yu.I. Tirskaya ◽  
Kadtsyna T.V. Kadtsyna ◽  
Lazareva O.V. Lazareva ◽  
Chulovsky Yu.I. Chulovsky ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Cesarean Section ◽  
Clinical Case ◽  
Placenta Accreta ◽  
Uterine Scar

scholarly journals Cesarean section. Is the choice justified? Risks to children’s health

2018 ◽  
pp. 16-21
Author(s):  
I. N. Zakharova ◽  
I. M. Osmanov ◽  
I. V. Berezhnaya ◽  
К. A. Koltsov ◽  
O. V. Dedikova ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Perinatal Mortality ◽  
Preventive Measures ◽  
Meta Analysis ◽  
Operative Delivery ◽  
Neonatal Deaths ◽  
Adaptive Mechanisms ◽  
Short And Long Term ◽  
Cytokine Cascade

Operative delivery is one of the preventive measures to reduce maternal and perinatal mortality. Due to objective reasons, the indicators of perinatal and early neonatal deaths of children in the Russian Federation have been steadily declining over the past decades. Operative delivery is one of the preventive measures to reduce maternal and perinatal mortality. However, it is necessary to take into account the risks of operative delivery for both mother and baby. The planned caesarean section does not allow to fully activate the adaptive mechanisms of the baby, which disrupts the cytokine cascade and leads to various immunological disorders, one of which is allergy. The last meta-analysis of 13 trials showed a high risk of developing bronchial asthma in children born by cesarean section. Autoimmune diseases, oncological processes and systemic diseases is clearly in evidence in this group. This article discusses the risks for children born by planned cesarean section in the short and long term and the possibility of prevention according to modern trials.

scholarly journals ODSTRANITEV LIPPESOVEGA MATERNIČNEGA VLOŽKA IZ TREBUŠNE VOTLINE PO 42 LETIH – PRIKAZ PRIMERA

2017 ◽  
Vol 86 ◽  
Author(s):  
Denis Ćatić ◽  
Boštjan Lovšin
Keyword(s):  
Computed Tomography ◽  
Family Medicine ◽  
Multidisciplinary Approach ◽  
Rare Complication ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
X Ray ◽  
Pass Through

Background: Intrauterine device is one of the most effective methods of contraception which in addition to many advantages also has its disadvantages. It can pass through the wall of the uterus and migrate into any tissue in the abdominal cavity. Since dislocation may be unrecognized for several years, re-examination after IUD insertion is necessary.Patients and methods: This article shows an example of a 72-year old patient with an accidentally discovered dislocated Lippes Loop IUD in the abdominal cavity. By the help of X-ray (RTG) and computed tomography (CT) we have determined its position and successfully removed it after 42 years.Conclusions: Migration and dislocation of an IUD is a rare complication and often completely asymptomatic. In order to avoid serious complications, it is necessary to re- examine patients regularly after insertion. An onset of pain certainly calls for the multidisciplinary approach in which a specialist of family medicine has the central role.

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