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 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.

Candida Funisitis: A Clinicopathologic Study of 32 Cases

1998 ◽  
Vol 1 (2) ◽  
pp. 118-124 ◽  
Author(s):  
Faisal Qureshi ◽  
Suzanne M. Jacques ◽  
Robert W. Bendon ◽  
Ona M. Faye-Peterson ◽  
Stephen A. Heifetz ◽  
...  
Keyword(s):  
Foreign Body ◽  
Careful Examination ◽  
Contraceptive Device ◽  
Clinicopathologic Features ◽  
Cervical Cerclage ◽  
Clinicopathologic Study ◽  
Fetal Infection ◽  
Intrauterine Contraceptive ◽  
Fungal Organisms ◽  
History Of

We report on 32 cases of Candida funisitis and describe the associated clinicopathologic features. The Candida funisitis was characterized grossly by small, circumscribed, yellow-white nodules on the umbilical cord surface and, microscopically, by subamnionic microabscesses in which fungal organisms were demonstrable. Chorioamnionitis was present in all cases. Twenty-four (75%) of the 32 infants were premature. There were 7 perinatal deaths, all in immature fetuses. Five (16%) of the 32 fetuses had congenital candidiasis. Five (16%) of the mothers had a history of intrauterine foreign body, including intrauterine contraceptive device in three and cervical cerclage in two. The diagnosis of Candida funisitis should prompt a careful examination for fetal infection, even though it is associated with congenital candidiasis in only a minority of the cases.

scholarly journals Intrauterine retention of fetal bones, a cause for secondary infertility

2019 ◽  
Vol 8 (10) ◽  
pp. 4101
Author(s):  
Anil Humane ◽  
Nikita Agrawal
Keyword(s):  
Diagnostic Technique ◽  
Contraceptive Device ◽  
Rare Entity ◽  
Secondary Infertility ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
Intrauterine Contraceptive ◽  
History Of ◽  
The Common ◽  
Retained Products

Secondary infertility due to retained products of conception in the form of fetal bones is a rare entity. It is usually associated with a history of abortion, either spontaneous or induced. The bony fragments probably act as an intrauterine contraceptive device to stimulate the secretion of endometrial prostaglandins, resulting in secondary infertility. The common symptoms include menstrual disturbances, pelvic pain, dyspareunia, vaginal discharge, spontaneous passage of fetal bones and infertility. Advanced diagnostic technique like hysteroscopy has helped in the diagnosis.

scholarly journals Actinomycosis: an unusual cause of unresectable rectal cancer

2013 ◽  
Vol 95 (6) ◽  
pp. e4-e6
Author(s):  
T Grey ◽  
K Lindsay ◽  
A Bhowmick
Keyword(s):  
Rectal Cancer ◽  
Unusual Case ◽  
Intrauterine Contraceptive Device ◽  
Current Evidence ◽  
Contraceptive Device ◽  
Diagnostic Challenge ◽  
Oncological Treatment ◽  
Intrauterine Contraceptive ◽  
Pelvic Actinomycosis ◽  
Long Course

We present a very unusual case of a woman with an intrauterine contraceptive device (IUCD) who developed pelvic actinomycosis during long course chemoradiotherapy for rectal cancer, which presented a significant diagnostic challenge and eventually rendered the cancer unresectable. IUCDs are often implicated in the development of pelvic actinomycosis but there is no current evidence or guideline to suggest that they should be removed prior to oncological treatment. Owing to the devastating consequences of this combination of disease, we suggest that it may be prudent to remove IUCDs in this setting.

scholarly journals Failure of intrauterine contraception in a multigravida lady with an undiagnosed uterus didelphys: a case report

2020 ◽  
Vol 10 (1) ◽  
pp. 397
Author(s):  
Shreemanti Bhattacharyya ◽  
Partha S. Sarkar
Keyword(s):  
Uterine Horn ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Uterus Didelphys ◽  
Intrauterine Contraception ◽  
Vaginal Deliveries ◽  
Uterine Anomalies ◽  
Intrauterine Contraceptive ◽  
History Of ◽  
Uterine Malformations

Uterus didelphys remains one of the rarest uterine anomalies partly because; majority women experience no symptoms with an uneventful reproductive life. Despite the cost-effectiveness and efficacy paired with fewer side effects and convenience of using an intrauterine contraceptive device, it is most likely to prove futile in an unsuspected case of didelphic uterus resulting in an unintended pregnancy. Hence, intrauterine contraception is generally considered a contraindication in cases of uterine malformations. We present a case of a multigravida mother (G7 P3 L3 A3) with a history of three term vaginal deliveries, with an undiagnosed uterus didelphys, carrying a single live intrauterine pregnancy of approximately 6 weeks period of gestation, in the right uterine horn and a copper containing intrauterine contraceptive device in the left uterine horn, willing to undergo medical termination of pregnancy. A high index of suspicion, on the part of the gynaecologist as well as the radiologist, is required to investigate concurrent pregnancy with a history of an intrauterine contraceptive device insertion, in order to rule out rarer uterine malformations like uterus didelphys. Thorough history taking and clinical examination accompanied by improved imaging techniques should be performed at the time of first pregnancy in order to avoid an unsuitable placement of an intrauterine contraceptive device.

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 Intrauterine Contraceptive Device Migration Presenting as Abdominal Wall Swelling: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Imtiaz Wani ◽  
Adil Syed ◽  
Muddasir Maqbool ◽  
Iftikhar Bakshi ◽  
Hilal Bhat ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Abdominal Wall ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Open Approach ◽  
Contraceptive Devices ◽  
Impacted Foreign Body ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

A number of complications are reported with the use of intrauterine contraceptive devices. These may pursue asymptomatic course or present as an acute abdomen after migration into peritoneal cavity. The authors here are reporting an abdominal wall swelling caused by transuterine migration of a copper intrauterine contraceptive device in a 28-year-old female. An open approach was used, and impacted foreign body was retrieved.

scholarly journals Association of Risk Factors of Ectopic Pregnancy

2017 ◽  
Vol 1 (2) ◽  
pp. 26-32
Author(s):  
Dur e Shehwar ◽  
Lubna Zubair
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Low Socioeconomic Status ◽  
Uterine Cavity ◽  
Pelvic Surgery ◽  
Contraceptive Device ◽  
Assisted Reproductive Technique ◽  
History Of ◽  
Tubal Disease ◽  
Reproductive Technique

Abstract:Background: Ectopic pregnancy is the implantation of a fertilized ovum anywhere outside the uterine cavity. Around 95% of ectopic pregnancies occur in the Fallopian tubes. Most of these are occurring in the ampulla region. Other sites include the interstitial or the corneal region of the myometrium, cervix, ovary, peritoneal cavity (abdominal pregnancy) and in caesarean section scars. The objective of this study was to see the association of different risk factors of ectopic pregnancy.Methodology: It was a case-control study. The data was collected from Obstetrics & Gynaecology department Jinnah Hospital, Lahore and the study was completed at Gulab Devi PGMI, Lahore. For the analysis of data, SPSS version 16.00 was used.Results: 180 pregnant females were taken in which 90 were cases and 90 were controls. 16 females were more than 35 years in age of which 16% females had ectopic pregnancy. There were 3 females had history of smoking in which 3% females had ectopic pregnancy. There were 82 females who had history of pelvic surgery in which 43% female had ectopic pregnancy. There were 17 females have had history of previous ectopic pregnancy of which 14% were having ectopic pregnancy. There were 6 females have had history of IUCD (Intra uterine contraceptive device) of which 6% females were having ectopic pregnancy. There were 23 females who had history of PID (Pelvic inflammatory disease) of which 26% females were having ectopic pregnancy. There were 2 females have had history of tubal disease and had ectopic pregnancy. There were 21 females who had history of ART (Assisted reproductive technique) in which 3% females were presented with ectopic pregnancy. There was 1 female who had history of endometriosis in which 2% females were presented with ectopic pregnancy.There were 16 females have had history of low socioeconomic status of which 9% females were presented with ectopic pregnancy. There was 1 female who had history of tuberculosis and having ectopic pregnancy.Conclusion: In the present study age more than 35 years, smoking, previous ectopic pregnancy, insertion of IUCD, PID, assisted reproductive technique, tubal disease, history of pelvic surgery, endometriosis and tuberculosis had a great association with ectopic pregnancy.

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.    

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