scholarly journals Assessment of Misplaced Intrauterine Contraceptive Devices by Different Imaging Modalities: A Cross-sectional Study

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Hesham Elsheikh ◽  
Manal ElRefaei ◽  
Sara Abd Elfattah
Keyword(s):  
Cross Sectional Study ◽  
Imaging Modalities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

Prevalence of Complications after Interval Postpartum Intrauterine Device Insertion

2021 ◽  
Vol 15 (9) ◽  
pp. 2785-2788
Author(s):  
Saba Abbas ◽  
Sadia Anwar ◽  
Kalsoom Essa Bhattani ◽  
Zubaida Khanum Wazir ◽  
Rubina Babar
Keyword(s):  
Teaching Hospital ◽  
Intrauterine Device ◽  
Contraceptive Device ◽  
Expulsion Rate ◽  
Cross Sectional ◽  
Uterine Infection ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

Background and Aim: Postpartum intrauterine device (PPIUD) is a reversible, long-term and effective technique of contraception. The intrauterine device (IUD) is inserted within 48 hours of delivery. The immediate insertion of an intrauterine device causes certain complications. The present study aimed to assess the prevalence of complications after Interval Postpartum Intrauterine Device Insertion. Materials and Methods: This cross-sectional study was carried out on 147 women who underwent postpartum IUD (PPIUD) insertions during from January 2021 to June 2021 at Gynecology department, Mufti Mehmood Memorial Teaching Hospital (MMMTH), Dera Ismail Khan and Muhammad Teaching Hospital Peshawar. All the women who delivered and showed willingness for PPIUCD insertion were enrolled and continuously follow-up for 4 to 6 weeks after delivery. Demographic, obstetric, and clinical parameters were recorded on pre-designed medical proforma. PPIUCD insertion after 6 weeks of delivery were followed-up for the evaluation of complications. Uterine infection, medical removal of IUD, IUD expulsion, perforation, and method discontinuation were the outcome variables. SPSS version 20 was used for data analysis. Results: Of the total deliveries, 147 women inserted the postpartum intrauterine contraceptive device (PPIUCD). Of the total, about 122 (83%) women returned for follow-up after 6 weeks. All the women underwent transvaginal insertion of intrauterine contraceptive devices. The PPIUCD insertion related complications with prevalence were uterine infection 26 (21.3%), overall method suspension 17 (13.9%), perforation 20 (16.4%), interceptive uterine device expulsions 25 (20.5%), and intrauterine device removal 32 (26.2%). The severe uterine infection was in 2 (1.7%) cases who were hospitalized. Conclusion: The postpartum intrauterine device cumulative expulsion rate was higher among women compared to the expulsion rate of insertions. The longer duration of bloody lochia flow and delivery intrauterine device insertions were the key risk factors for expulsion of PPIUCD. Women can safely utilize intrauterine contraceptive devices with low complications beyond four week. Keywords: Postpartum intrauterine device; Complications; Intrauterine device expulsion

scholarly journals Abdominopelvic actinomycosis: spectrum of imaging findings and common mimickers

2014 ◽  
Vol 3 (2) ◽  
pp. 204798161452457 ◽  
Author(s):  
Charikleia Triantopoulou ◽  
Aart Van der Molen ◽  
Ad CMG Van Es ◽  
Maria Giannila
Keyword(s):  
Bowel Wall ◽  
Pelvic Mass ◽  
Wall Thickening ◽  
Inflammatory Infiltration ◽  
Cross Sectional ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Cross Sectional Imaging ◽  
Bowel Wall Thickening ◽  
Intrauterine Contraceptive Devices

Background Actinomycosis is a rare suppurative disease that may mimic other inflammatory conditions on imaging. Its invasive nature may lead to mass formation and atypical presentation thus making accurate diagnosis quite difficult. Purpose To describe the different aspects of abdominopelvic actinomycosis on cross-sectional imaging and indicate discriminative findings from other inflammatory or neoplastic diseases. Material and Methods In our study we analyzed 18 patients (15 women, 3 men; age range, 25–75 years; mean age, 50 years) with pathologically proved abdominopelvic actinomycosis. Contrast-enhanced abdominal computed tomography (CT) had been performed in all patients. Eleven patients had a history of using intrauterine contraceptive devices. Bowel site, wall thickness and enhancement degree, inflammatory infiltration, and features of peritoneal or pelvic mass were evaluated at CT. Results The sigmoid colon was most commonly involved. Most patients showed concentric bowel wall-thickening, enhancing homogenously and inflammatory infiltration of pericolonic fat was mostly diffuse. In 11 patients, one or more pelvic abscesses were revealed, while a peritoneal or pelvic mass adjacent to the involved bowel segment was seen in three cases. Infiltration into the abdominal wall was seen in three cases while in one case there was thoracic dissemination. Conclusion Actinomycosis is related not only to long-term use of intrauterine contraceptive devices and should be included in the differential diagnosis when cross-sectional imaging studies show concentric bowel wall-thickening, intense contrast enhancement, regional pelvic or peritoneal masses, and extensive inflammatory fat infiltration with abscess formation.

scholarly journals Atypical presentation of cholecystitis with torsion of the gallbladder diagnosed preoperatively in an unusual location

2021 ◽  
Author(s):  
Sowmiya Kalyanasundaram ◽  
Suresh Fernando
Keyword(s):  
Gall Bladder ◽  
Ct Scan ◽  
Acute Cholecystitis ◽  
Imaging Modality ◽  
Cross Sectional Study ◽  
Imaging Modalities ◽  
Anatomical Location ◽  
Sectional Study ◽  
Cross Sectional ◽  
Upper Abdomen

Objective: An 87-year-old attended the emergency department with sharp upper abdominal pain, radiating to back with a pain score of 10/10. On examination, severe epigastric tenderness was noted. Past surgical history: bilateral salphingo-oopherectomy. Repair for paraumblical hernia and right total hip replacement. No history of cholecystectomy. Inflammatory markers were raised. Cholecystitis/gall bladder perforation was suspected and contrast CT was performed. Methods: CT abdomen and pelvis – in comparison to the previous CT scan which was done in 2018, where gall bladder was in the correct anatomical location, the gall bladder was not seen in the gall bladder fossa in the current study. However, a gall bladder like suspicious structure was noticed within the upper abdomen to the left of midline anterior to the gastric pylorus with significant inflammatory changes. Therefore, considering the clinical picture and CT findings, it was suggestive of acute cholecystitis with torsion of gall bladder. Results: Patient was started on i.v. antibiotics and laparoscopic assessment was carried out on the following day. Intraoperatively, the surgeons were unable to locate the gall bladder in its normal anatomical position, but incidentally found a mass in the left upper abdomen which appeared gangrenous. This was removed and sent for histopathology. Histology report confirmed that the specimen was gall bladder with features suggestive of pre-existing chronic cholecystitis, with recent venous infarction. Conclusion: Torsion of gall bladder is a very rare entity and if left untreated could lead to fatal sequelae of gangrene and perforation resulting in biliary peritonitis. There is evidence which suggest that torsion of gall bladder is more common in elderly females due to loss of visceral fat but the pre-operative diagnosis using imaging modalities has always been challenging. But in this particular case, the radiologist was able to make the precise diagnosis pre-operatively using the cross-sectional study of an advanced imaging modality like the CT scan with contrast which also helped the surgeons in making the decision for immediate surgery rather than planning for routine conservative management for acute cholecystitis. The importance of cross-sectional study with intravenous contrast in diagnosing unusual presentation of gall bladder related and potentially life-threatening abdominal pathology has been highlighted in this case study. It is also evident that how imaging modalities play a significant role in altering acute management plan.

scholarly journals Modern Contraceptive Choice Among Patients Seen at the “Cameroon National Planning Association for Family Welfare” Clinic Yaoundé

2017 ◽  
Vol 11 ◽  
pp. 117955811771301 ◽  
Author(s):  
Tameh Theodore Yangsi ◽  
Fouelifack Ymele Florent ◽  
Mbong Eta Ngole ◽  
Fomulu Nelson
Keyword(s):  
Side Effects ◽  
Side Effect ◽  
Cross Sectional Study ◽  
Urban Setting ◽  
Family Welfare ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
National Planning ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive

Background: To understand the low modern contraceptive prevalence in Cameroon, we reviewed the methods chosen and determined their side effects among patients in an urban setting. Methods: We conducted a cross-sectional study at the “Cameroon National Planning Association for Family Welfare (CAMNAFAW) Clinic” in Yaoundé. Data were processed by SPSS software version 20.0 for Windows, and all tests were considered statistically significant at P < .05. Results: Of the 1180 women sampled, the most chosen methods were as follows: depot medroxy progesterone acetate: 72.1% (787 of 1091), followed by oral combined contraceptives: 21.3% (232 of 1091), subcutaneous implants: 3.2% (35 of 1091), and intrauterine contraceptive devices: 1.9% (21 of 1091). A hundred and forty two (14.5%) of the 977 women received at least once (revisits) at the Center, reported at least one side effect. Irregular vaginal bleeding was the most frequent side effect: 44.6% (84 of 188 total documented side effects). Side effects were most common among users of subcutaneous implants: 28% (7 of the 25 implant users). Conclusions: Prescription of contraceptives should reflect not only the desire of couples but also the side effects associated with each method. This would optimize observance and adherence, consequently decreasing the failure rate.

scholarly journals Perception of radiography lecturers towards the proposed doctor of radiography program

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Beatrice Ukamaka Maduka ◽  
Anthony Chukwuka Ugwu ◽  
Bakky Ngozi Adirika
Keyword(s):  
Demographic Data ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Imaging Modalities ◽  
Sectional Study ◽  
Positive Perception ◽  
High Quality ◽  
Cross Sectional ◽  
Validated Questionnaires

Abstract Background Radiography as a profession has undergone significant changes in recent times with the introduction of new imaging modalities, increase in the ranges of radiological investigations, and a diversification in the role of radiographers. As a result of these, there is a need to step up the radiography program to meet up with these changes. This study aims at ascertaining the perception of radiography lecturers in Nigeria towards the proposed doctor of radiography program. A cross-sectional study of radiography lecturers in Nigeria was conducted from February to July 2020. Subjects were recruited through a convenient sampling technique. Validated questionnaires were sent online to all the lecturers. The questionnaire contained 32 questions divided into 3 sections. Section A captured the demographic data of the lecturers. Section B captured information on the ability of the doctor of radiography program to produce graduates with a broad orientation in all specialties of radiography. Section C elicited information on the ability of the doctor of radiography program to produce high-quality radiographers. Results A total of 62 lecturers comprising 51 males (82.3%) and 11 females (17.7%) participated in the study. The grand mean of all the items in sections B and C were 3.03 and 3.25 respectively which show that the respondents are confident that the proposed program will produce high-quality and versatile radiographers. Conclusion The lecturers showed a positive perception towards the doctor of radiography program. Hence, they strongly believe that the proposed program will produce more versatile radiographers than the bachelor’s program.

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