scholarly journals Laparoscopic Management of a Frameless Intrauterine Device-GyneFix embedded in the Mesentery of the Ileum

2017 ◽  
pp. 1
Author(s):  
Mehmet Tunç Canda ◽  
Namık Demir
Keyword(s):  
Bowel Resection ◽  
Intrauterine Device ◽  
Uterine Perforation ◽  
Complication Rates ◽  
X Ray ◽  
First Case ◽  
Special Apparatus ◽  
The Right ◽  
Exploratory Laparoscopy ◽  
Uterine Fundus

<p>GyneFix® is a small, frameless, armless, flexible intrauterine device. The proximal end contains a knot that is anchored in the uterine fundus using a special apparatus. A 31-year-old woman presented with abdominal cramps ten days after GyneFix® insertion. Transvaginal ultrasonography was unsuccessful in locating the intrauterine device therefore a direct X-ray sonogram of the abdomen while standing was performed. The X-ray sonogram of the abdomen showed the intrauterine device in the right quadrant. An exploratory laparoscopy was performed and showed that the intrauterine device perforated the uterine fundus and was embedded in the mesentery of the ileum. The intrauterine device was removed without complication. Although the reported complication rates are very low for GyneFix®, practitioners should be well trained and should be aware of such complications that could lead to bowel resection. We report the first case of a GyneFix®- Intrauterine device presenting with uterine perforation and nearly intestinal perforation since its recent introduction into the Turkish market.<br /><br /></p>

Removal of a Missing Intrauterine Device Via Laparotomy after 28 Years of Insertion: A Case Report

2018 ◽  
pp. 1 ◽  
Author(s):  
Fatih Aktoz ◽  
Ali Can Gunes ◽  
Oguzhan Kuru ◽  
Zafer Selcuk Tuncer
Keyword(s):  
Case Report ◽  
Intrauterine Device ◽  
Uterine Perforation ◽  
Intestinal Damage ◽  
Contraceptive Methods ◽  
X Ray ◽  
Copper Intrauterine Device

<p>Intrauterine device is one of the most preferred contraceptive methods. Rare complications such as uterine perforation were getting more common due to increased use of intrauterine device and could be seen either with mild manifestations or serious cases like bladder or intestinal damage. <br />A 48-year-old patient who is consulted to our clinic because of a missed copper intrauterine device was presented. The intrauterine device was inserted 28 years ago, detected in pelvis incidentally by x-ray and extracted via laparotomy. Although device has been in abdomen for nearly three decades, we did not see any serious reaction or adhesion during surgery.<br />Management of a patient with intrauterine device should be done carefully and following the instructions before insertion, regular examination at every visit are important.</p>

Migration of Umbilical Venous Catheters

2019 ◽  
Vol 36 (13) ◽  
pp. 1377-1381
Author(s):  
Anneloes M. Plooij-Lusthusz ◽  
Nick van Vreeswijk ◽  
Margriet van Stuijvenberg ◽  
Arend F. Bos ◽  
Elisabeth M. W. Kooi
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Primary Outcome ◽  
Complication Rates ◽  
Correct Position ◽  
X Ray ◽  
Correct Placement ◽  
Initial Placement ◽  
The Right

Objective Migration of umbilical venous catheters (UVCs) after initial correct position has been described. The aim of this study was to assess the incidence of malposition of the tip of the UVCs at 24 to 36 hours postinsertion. Study Design Retrospective analysis of all neonates who had UVC placement in a 14-month period. The primary outcome was the rate of UVCs incorrectly positioned 24 to 36 hours after initial correct placement, defined as the UVC tip below or more than 5 mm above the level of the right diaphragm on a thoracoabdominal X-ray. Results We included 86 neonates with a median (range) birth weight of 1,617 (535–5,000) grams, and gestational age of 31 (24–42) weeks. Of the 80 UVCs that were further analyzed, only in 38 (48%) of 80 patients, the tip of the UVC still had a correct position 24 to 36 hours after initial placement. In 22 (28%) of 80 patients, the UVCs had a position that was too high and in 20 (25%) that was too low. Conclusion More than half of UVCs migrated at 24 to 36 hours postinsertion to positions known to have higher complication rates. We, therefore, recommend follow-up evaluation at 24 to 36 hours postinsertion, to prevent complications from malposition.

scholarly journals Unusual Pneumonia Mimic

2019 ◽  
Author(s):  
Joana Ricardo Pires ◽  
Maria José Moreira ◽  
Margarida Martins ◽  
Clarinda Neves
Keyword(s):  
Clinical Presentation ◽  
Lower Lobe ◽  
Community Acquired Pneumonia ◽  
Diagnostic Challenge ◽  
X Ray ◽  
Severe Hypoxaemia ◽  
Chest X Ray ◽  
The Right ◽  
High Index Of Suspicion ◽  
Exploratory Laparoscopy

Disease in atypical organ locations can mimic other pathologies, hampering the right diagnosis. Such conditions may even be emergencies, like appendicitis. Subhepatic appendix is a very rare entity which may be caused by caecum dehiscence failure. The authors present the case of a 55-year-old immunocompetent man admitted to the Emergency Department with sepsis and severe hypoxaemia. Chest x-ray showed right lower lobe infiltrate, and community-acquired pneumonia was diagnosed. The patient was started on broad-spectrum antibiotics, but he continued to deteriorate and after 3 days developed abdominal complaints. Exploratory laparoscopy revealed an abscess caused by perforated subhepatic appendicitis. Subhepatic appendicitis presents a diagnostic challenge and its clinical presentation may mimic that of other entities. This case highlights an atypical presentation, where the early development of inflammatory lung injury mimicked common pneumonia. Maintenance of a high index of suspicion and knowledge of these atypical locations is crucial.

scholarly journals Acute intrauterine device migration appendicitis with cecal appendix obstruction: Case report and literature review

2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Oscar Mauricio Poveda Ortiz
Keyword(s):  
Case Report ◽  
Iliac Fossa ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Uterine Perforation ◽  
Uterine Anomalies ◽  
Surgical Extraction ◽  
And Migration ◽  
The Moment ◽  
The Right

Introduction The intrauterine device is a planning method widely used in the world, however, it is not without complications, one of these is uterine perforation and migration of the IUD to the abdominal cavity, which although it is rare, has serious clinical repercussions and its study has been studied. relationship with the adequate or not insertion of the device, the size and configuration of the uterus, uterine anomalies or surgeries and the moment of insertion after delivery. Case report We present the case of a 36-year-old female patient with a 12-hour history of pain in the mesogastrium that radiates to the right iliac fossa of 9/10 weight intensity, associated with fever measured at 38.9º. He underwent diagnostic laparoscopy with a finding of acute appendicitis secondary to lumen obstruction by the IUD, so an appendectomy was performed. Conclusions The appropriate treatment when this complication occurs is surgical extraction either laparoscopically or laparotomy to reduce the risk of associated complications.

scholarly journals ICD-Electrode-Perforation of the Right Ventricle to the Pericardium with and without Pericardial Effusion

2020 ◽  
pp. 1-4 ◽  
Author(s):  
Line Lisbeth Olesen ◽  
Line Lisbeth Olesen
Keyword(s):  
Pericardial Effusion ◽  
Right Ventricle ◽  
Low Voltage ◽  
X Ray ◽  
First Case ◽  
Difficult Time ◽  
Chest X Ray ◽  
Cardiac Silhouette ◽  
The Right ◽  
Electrical Alternans

Two cases are described of iatrogenic traumatic perforation of an ICD electrode through the myocardium in the right ventricle and to the pericardium. The diagnostic gold standard gated CT was not necessary in either case. In the first case the lead insertion was difficult, time-consuming, and complicated by the PostCardiac Injury Syndrome and a slowly accumulating hemorrhagic pericardial effusion causing cardiac tamponade, diagnosed by the clinical picture, elevated CRP, ECG with low voltage and electrical alternans, chest X-ray revealing enlarged cardiac silhouette and echocardiography a large effusion, treated with pericardiocentesis and drainage. In the other case there was painful pericardial irritation and extracardiac pacing and ICD failure with loss of capture, no diagnostic changes in ECG, chest X-ray, and echocardiography; diagnosed by fluoroscopy during replacement at the lead, which went without complications and without pericardial effusion.

VERTICAL LOCKING OF THE METACARPOPHALANGEAL JOINT OF THE THUMB

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 279-284 ◽  
Author(s):  
Kosuke Tajima ◽  
Takashi Sasaki ◽  
Kazuyoshi Yamanaka
Keyword(s):  
Proximal Phalanx ◽  
Metacarpophalangeal Joint ◽  
Vertical Position ◽  
Collateral Ligament ◽  
X Ray ◽  
First Case ◽  
The Right ◽  
Flexion Force

Locking of the metacarpophalangeal (MP) joint of the fingers, though reported infrequently, is not rare in the literature. We will report two rare cases of the MP joint of the thumb locked in 90° of flexion (vertical locking). The first case is a 21-year-old man, punched on his right thumb by his friend, who arrived with his thumb fixed in a flexed position. The X-ray images of the right thumb showed the proximal phalanx subluxation in the palmer side in a vertical position. The second case is a 35-year-old woman with her right thumb accidentally caught in the chain of a key-holder. The locking was easily reduced without anaesthesia in both cases. We assume the mechanism was that the flexion force on the MP joint led to subluxation and the locking occurred due to the tension of the collateral ligament caused by the volar prominence of the radial condyle.

scholarly journals Intrauterine Contraceptive Device Complication: Migration to the Small Bowl and Ovary Concurrently

2020 ◽  
Author(s):  
Mohammad Reza Sasani ◽  
Amir Hossein Soltani
Keyword(s):  
Rare Event ◽  
Intrauterine Contraceptive Device ◽  
Bowel Loop ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
X Ray ◽  
Intrauterine Contraceptive ◽  
X Ray Computed ◽  
The Right ◽  
Initial Method

Intrauterine Contraceptive Device (IUD) is a useful and reversible contraceptive method. This method has potential complications. Uterine perforation and IUD migration is rare but is a serious complication. Migrated IUD could situate in different organs such as bowel loop, urinary bladder, fallopian tube, or ovary. However, the presence of a displaced IUD simultaneously in the two organs is a rare event. Ultrasonography is an appropriate and initial method for evaluating the IUD location. Abdominopelvic x-ray, computed tomography, and MRI are adjunctive imaging modalities. We present a case with migrated IUD, which was located in the right ovary and small intestine simultaneously.

scholarly journals Application of a hormonal intrauterine device causing uterine perforation: A case report

2011 ◽  
Vol 139 (11-12) ◽  
pp. 815-818 ◽  
Author(s):  
Milica Berisavac ◽  
Radmila Sparic ◽  
Rajka Argirovic ◽  
Gernot Hudelist ◽  
Vojislav Zizic
Keyword(s):  
Case Report ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Unwanted Pregnancy ◽  
Menstrual Bleeding ◽  
Radiographic Examination ◽  
Uterine Perforation ◽  
Intrauterine Contraception ◽  
The Right ◽  
Patient Department

Introduction. The last decade of the usage of intrauterine contraception has been marked by the application of levonorgestrel-releasing hormonal devices. A hormonal intrauterine device (IUD) releases a certain amount of progestogen, whose effect on endometrium is such that, apart from preventing unwanted pregnancy, also regulates the menstrual bleeding by reducing the quantity and the duration of haemorrhage. This effect of hormonal IUDs has led to their additional indications and use, so that nowadays these IUDs are used not only as contraceptives but for therapeutic purposes as well. Case Outline. After examination and treatment in an out-patient department, a 38-year-old woman was referred to our hospital due to suspected spontaneous uterine perforation caused by hormonal IUD (Mirena?) one month after its application. Clinical and sonographic examinations were unable to determine the uterine perforation or the exact IUD location. Radiographic examination confirmed the presence of the IUD in the abdomen, so it was decided to operate on the patient. Perforation in the isthmus of the uterus and to the right was identified intraoperatively. By exploration of the genital organs and the abdominal cavity, the IUD was finally located in the omentum. Conclusion. Even in cases of adequate indications for hormonal IUD application, the doctor?s experience and complying with all the principles of appropriate insertion, we should always consider the possibility of the occurrence of serious complications, which sometimes may even require surgery. The extragenital position of IUD, as in this case, may create serious difficulties in the detection of location. A possible development of asymptomatic complications additionally emphasizes the necessity of regular check-ups of all IUD users.

Recovery of Upper Gastrointestinal Bowel Movement After Rectosigmoid Cancer Surgery: A Pilot Transit Analysis

2011 ◽  
Vol 96 (4) ◽  
pp. 281-285 ◽  
Author(s):  
Hiroyoshi Matsuoka ◽  
Koutarou Maeda ◽  
Hidetoshi Katsuno ◽  
Akira Tsunoda ◽  
Keiji Koda ◽  
...  
Keyword(s):  
Small Intestine ◽  
Colorectal Resection ◽  
Bowel Movement ◽  
Bowel Resection ◽  
Gastrointestinal Transit ◽  
X Rays ◽  
Rectosigmoid Cancer ◽  
X Ray ◽  
The Right ◽  
Upper Gastrointestinal

Abstract Postoperative gastrointestinal bowel transit right after colorectal resection has not yet been clarified. Thirty patients with rectosigmoid cancer were treated in this pilot study. The nasogastric tube was removed on the first postoperative day. One Sitzmarks capsule was given to each patient on the second postoperative day. Abdominal X-rays were taken at 3, 6, 8, 24, 48, and 72 hours after capsule intake. Distribution of the remaining Sitzmarks capsules were counted on X-ray films to clarify postoperative gastrointestinal movement after bowel resection. All Sitzmarks capsules were observed in the stomach at 3 and 6 hours after capsule intake. At 8 hours (second postoperative day), the Sitzmarks capsules were distributed from the stomach to the small intestine. Sitzmarks capsules were distributed in the right side colon at 24 hours (third postoperative day) after intake. Although the main distribution was still in the right side colon, several patients had evacuations accompanied by the disappearance of the Sitzmarks capsules. In 50% of the patients, it took approximately 72 hours (fifth postoperative day) for the first defecation after intake of the capsules. However, the Sitzmarks capsules remained mainly in the right side colon. Eight hours after intake, the majority of the Sitzmarks capsules shifted to the small intestine. Therefore, medication or feeding should be safely possible starting on the second postoperative day. There was no particular impact of bowel resection on upper gastrointestinal transit in patients with rectosigmoid cancer.

scholarly journals Exercise-Induced Hematuria as the Main Manifestation of Migration of Intrauterine Contraceptive Device into the Bladder

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Michel Platiny Mascarenhas ◽  
Ricardo Brianezi Tiraboschi ◽  
Victor Pereira Paschoalin ◽  
Ellen Almeida Possidonio Costa ◽  
Carlos Henrique Suzuki Bellucci ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Present Report ◽  
Intrauterine Device ◽  
Interesting Case ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Complication Rates ◽  
Morbid Condition ◽  
Intrauterine Contraceptive ◽  
Exercise Induced

Intrauterine device (IUD) is a common contraceptive method, due to its cost-effectiveness and low complication rates. Uterine perforation is a possible complication and IUD migration to the bladder is a rare and morbid condition. The present report describes an interesting case in which the urinary manifestations started 13 years after insertion, and the main clinical finding was exercise-induced hematuria.

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