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 Secondary infertility due to intrauterine retained fetal bone fragments

2014 ◽  
Vol 61 (3) ◽  
pp. 95-97
Author(s):  
Julian Habibaj ◽  
Halim Kosova ◽  
Valbona Bilali ◽  
Sokol Bilali
Keyword(s):  
Foreign Body ◽  
Histological Examination ◽  
Unusual Case ◽  
Uterine Cavity ◽  
Contraceptive Device ◽  
Secondary Infertility ◽  
Dead Bone ◽  
Intrauterine Contraceptive ◽  
History Of ◽  
Bone Fragments

We present an unusual case of a 28-year-old woman who had termination of pregnancy at 18 weeks of gestation. She visited our clinic with a history of secondary infertility for 3 years. A transvaginal ultrasonography revealed a hyperechogenic image that suggested presence of an intrauterine contraceptive device (IUCD). Hysteroscopy revealed a foreign body in the uterine cavity. The foreign body was removed with a hysteroscope using additional instruments that were not designed for hysteroscopy. Histological examination of the foreign body revealed fragments of dead bone.

scholarly journals Cyclopia: A Rare Condition with Unusual Presentation - A Case Report

2015 ◽  
Vol 9 ◽  
pp. CMPed.S21107
Author(s):  
Ghassan S.A. Salama ◽  
Mahmoud A.F. Kaabneh ◽  
Mohamed K. Al-Raqad ◽  
Ibrahim M.H. Al-Abdallah ◽  
Ayoub Ga Shakkoury ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Pregnancy Termination ◽  
Brain Mri ◽  
External Genitalia ◽  
Rare Condition ◽  
Renal Dysplasia ◽  
Military Hospital ◽  
Single Orbit ◽  
History Of ◽  
Term Baby

Introduction Cyclopia (alobar holoprosencephaly) (OMIM% 236100) is a rare and lethal complex human malformation, resulting from incomplete cleavage of prosencephalon into right and left hemispheres occurring between the 18th and the 28th day of gestation. Holoprosencephaly occurs in 1/16,000 live births, and 1/250 during embryogenesis. Approximately 1.05 in 100,000 births are identified as infants with cyclopia, including stillbirths. Cyclopia typically presents with a median single eye or a partially divided eye in a single orbit, absent nose, and a proboscis above the eye. Extracranial malformations described in stillbirths with cyclopia include polydactyl, renal dysplasia, and an omphalocele. The etiology of this rare syndrome, which is incompatible with life, is still largely unknown. Most cases are sporadic. Heterogeneous risk factors have been implicated as possible causes. Case Presentation A live full-term baby with birth weight of 2900 g, product of cesarean section because of severe fetal bradycardia, was born at Prince Hashem Military Hospital – Zarqa city/Jordan. This newborn was the first baby to a non-consanguineous family, and a healthy 18-year-old mother, with no history of drug ingestion or febrile illnesses during pregnancy. Antenatal history revealed severe hydrocephalus diagnosed early by intrauterine ultrasound but the pregnancy was not terminated because of the lack of medical legitimization in the country. On examination, the newborn was found to have a dysmorphic face, with a median single eye, absence of nose, micrognathia, and a proboscis above the eye, all of which made cyclopia the possible initial diagnosis. Multiple unusual abdominal defects were present that include a huge omphalocele containing whole liver and spleen, urinary bladder extrophy, and undefined abnormal external genitalia, which called for urgent confirmation. Brain MRI was done and revealed findings consistent with alobar holoprosencephaly (cyclopia). Conclusion Presentation of cyclopia is not fully exposed and new cyclopian syndromes still can appear. The prenatal diagnosis of cyclopia can be made early by ultrasound, and the awareness of the spectrum of sonographic findings of cyclopia can improve the accuracy of prenatal diagnosis. The legitimization of pregnancy termination for indexed cases in many countries around the world should be revised.

scholarly journals Bacteriological colonisation of uterine cavity: role of tailed intrauterine contraceptive device.

BMJ ◽  
1981 ◽  
Vol 282 (6271) ◽  
pp. 1189-1191 ◽  
Author(s):  
R A Sparks ◽  
B G Purrier ◽  
P J Watt ◽  
M Elstein
Keyword(s):  
Uterine Cavity ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive

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 Size Matters: Contemporary use of the IUD

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Elliot M Levine ◽  
Carlos M Fernandez
Keyword(s):  
Side Effects ◽  
Young Women ◽  
Contraceptive Use ◽  
Uterine Cavity ◽  
Contraceptive Device ◽  
Nulliparous Women ◽  
Intrauterine Contraceptive ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive ◽  
Selection Of

Long-acting reversible contraceptive choices are becoming more popular among young women, and providers may need to keep in mind those methods that are likely to be most successful.  The dimensions of the uterine cavity vary according to the parity of a user, with the nulliparous woman having a smaller uterine space.  With the known intrauterine contraceptive device side effects being possible, and with smaller such devices being clinically available for patients, selection of those smaller devices for contraceptive use may be more ideal for those younger nulliparous women.  In this way, complications with this method may possibly be avoided.    

Wandering intrauterine contraceptive device: an unusual case of migration to the sigmoid colon

2021 ◽  
Vol 15 (1) ◽  
pp. 1-6
Author(s):  
Elpida Samara ◽  
Kerry Howe-Bush ◽  
Mark Portet ◽  
David C Howlett
Keyword(s):  
Sigmoid Colon ◽  
Intrauterine Device ◽  
Uterine Cavity ◽  
Major Complication ◽  
Unusual Complication ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Pelvic Magnetic Resonance Imaging ◽  
Intrauterine Contraceptive ◽  
And Migration

An intrauterine device is a well-tolerated and widely used contraceptive method. A rare but major complication is perforation of the uterus and migration into the sigmoid colon. In this case report, a 33-year-old woman presented for follow up after placement of a copper-T intrauterine device 4 months previously. A clinical examination found significant tenderness on palpation, and the threads could not be detected. An ultrasound was conducted, which revealed no coil in the uterine cavity. The pelvic x-ray found it in the mid-pelvis and pelvic magnetic resonance imaging confirmed the position of the T-component at the mid-sigmoid colon. The patient underwent a sigmoidoscopy, which confirmed the position in the sigmoid colonic wall. The device was removed with an endoscopy without further complications. Uterine perforation and translocation to the sigmoid colon is an unusual complication of an intrauterine device. Removal of a translocated intrauterine device is recommended in all symptomatic cases.

Secondary Infertility and Retained Fetal Bone Fragments

2013 ◽  
Vol 122 (2, PART 2) ◽  
pp. 458-461 ◽  
Author(s):  
William D. Winkelman ◽  
Mary C. Frates ◽  
Janis H. Fox ◽  
Elizabeth S. Ginsburg ◽  
Serene Srouji
Keyword(s):  
Secondary Infertility ◽  
Fetal Bone ◽  
Bone Fragments

324 Cases of Misplaced IUCD — A 5-Year Study

2003 ◽  
Vol 33 (1) ◽  
pp. 11-12 ◽  
Author(s):  
Meenakshi Barsaul ◽  
Neeraj Sharma ◽  
Krishna Sangwan
Keyword(s):  
Developing Countries ◽  
Family Planning ◽  
Uterine Cavity ◽  
Cervical Canal ◽  
Contraceptive Device ◽  
Primary Health Centres ◽  
Intrauterine Contraceptive ◽  
Proper Training ◽  
And Migration

Copper-T remains the mainstay of family planning measures in developing countries but is associated with serious complications like bleeding, perforation and migration to adjacent organs or omentum. Patients with misplaced intrauterine contraceptive device (IUCD) may present with pregnancy or lost strings or may remain asymptomatic for years. In our series of 324 cases with misplaced IUCD1; in 258 (79.93%) cases copper-T was found in the uterine cavity and in 47 cases (14.51%) it was removed from cervical canal. In only 18 cases (5.56%), it was translocated and of these 66.67% were inserted at primary health centres. Laparoscopic retrieval was successful in 61.11% cases. Endoscopy thus helps in the localization and retrieval of misplaced IUCDs. A regular follow up of IUCDs for visible threads would help in earlier detection of misplaced IUCDs. Proper training of paramedical staff is mandatory in developing countries to provide safe and better family planning services.

scholarly journals Tube-ovarian abscess caused by Rothia aeria

2019 ◽  
Vol 12 (8) ◽  
pp. e229017
Author(s):  
Yusuke Taira ◽  
Yoichi Aoki
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Ribosomal Rna ◽  
Space Station ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Ovarian Abscess

Rothia aeria is a gram-positive amorphous bacillus and was discovered in the Russian space station ‘Mir’ in 1997. It shows phylogenetic similarity to Actinomyces israelii, and as determined using 16 s ribosomal RNA gene analysis R. aeria is classified as a bacteria of the genus Actinomyces. It was found to colonise in the human oral cavity, and there are some infectious reports but none specifies gynaecological infection. A 57-year-old woman, who had been continuously using intrauterine contraceptive device, presented with fever and lower abdominal pain. She was suspected tube-ovarian abscess caused by A. israelii, but the uterine cavity culture revealed R. aeria infection. Considering surgical treatment, conservative treatment by intravenous benzylpenicillin and subsequently oral ampicillin for 6 months improved the abscess, and she has no recurrence for over 1 year.

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