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 Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

2018 ◽  
Vol 6 (11) ◽  
pp. 3756
Author(s):  
Pallipuram S. Bhageerathy ◽  
Scott A. Singh ◽  
Manjula Dhinakar ◽  
Jose M. Lukose
Keyword(s):  
Bowel Perforation ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Intrauterine Contraceptive Device ◽  
Greater Omentum ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Minimally Invasive Surgical ◽  
Intrauterine Contraceptive ◽  
Laparoscopic Removal

Uterine perforation followed by transmigration of intrauterine contraceptive device to the abdominal cavity is one of the rarest, but most dangerous complication of Copper T. These displaced Copper containing devices can cause chronic inflammatory reaction leading to adhesions, intestinal obstruction and even bowel perforation. Hence removal of these devices once found outside the uterus is recommended. Traditionally, a laparotomy used to be performed owing to the associated inflammation, adhesions and the risks of bowel injury. Laparoscopic removal of these displaced devices is a minimally invasive surgical approach with good results in skilled hands. Authors reported a rare case of misplaced transmigrated intrauterine contraceptive device in a 43-year-old asymptomatic lady. The Copper T had migrated after silent perforation of the uterus and was impacted in the greater omentum. There was evidence of chronic inflammation and small pockets of pus surrounding it. There were flimsy bowel adhesions. The dislodged device was successfully removed laparoscopically along with partial omentectomy without any complications. Regular follow up of patients who have had Copper T insertions and teaching them to feel the thread and report if not felt is essential to diagnose complications early. A transmigrated intrauterine device can be successfully removed laparoscopically.

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.

scholarly journals A CLINICAL CASE OF SURGICAL TREATMENT OF PEPTIC ULCER OF GASTROENTEROANASTOMOSIS

2021 ◽  
Vol 9 (1) ◽  
pp. 101-106
Author(s):  
S.V. Leonchenko ◽  
◽  
V.N. Petyushkin ◽  
A.P. Motin ◽  
A.A. Dyomin ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Surgical Treatment ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Decisive Role ◽  
Pain Syndrome ◽  
Gastric Surgery ◽  
Early Postoperative Period ◽  
Actual Problem ◽  
Long Time

In the article a clinical case of surgical treatment of peptic ulcer of gastroenteroanastomosis complicated with perforation and gastrointestinal bleeding, is described. The patient was observed with the diagnosis: cholelithiasis, chronic calculous cholecystitis, for which planned laparoscopic cholecystectomy with draining of the abdominal cavity was performed. According to the discharge record, the operation ran without peculiarities. Later the patient was rehospitalized with complaints of weakness, nausea, vomiting, pain in the upper parts of the abdomen; he was diagnosed with ulcer of gastroenteroanastomosis and continuing bleeding that were indications for the surgical intervention for life-saving indications. From the patient words, a part of the stomach was resected more than 20 years before for gastric ulcer. Until the latest time, the patient felt satisfactory, but within 6 months pain in the abdomen reappeared, however, on examination cholelithiasis was identified, and the pain syndrome was attributed to this pathology. Assumably, after the first operation performed in 1995, a complication developed in the early postoperative period in the form of obstruction of gastroenteroanastomosis (anastomositis?), and additional gastroenteroanastomosis was applied. Conclusion. Peptic ulcer of anastomosis is an actual problem of the gastric surgery which may not only appear long time after the operation, but may give the same complications as «essential» peptic ulcer, and really threaten the life of patients. It should be noted that in some cases the intraoperative picture, experience and sensations of a surgeon play a decisive role in the diagnosis of surgical pathology even if they differ from the data of additional methods of examination.

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 Ovarian and Uterine Horn Agenesis Accompanied by Ectopic Fetal Mummifcation in Canine

2016 ◽  
Vol 44 (1) ◽  
pp. 5
Author(s):  
Thalita Priscila Peres Seabra Da Cruz ◽  
Samara Rosolem Lima ◽  
David Ronald Parra Travagin ◽  
Caroline Argenta Pescador ◽  
Roberto Lopes De Souza
Keyword(s):  
Complete Blood Count ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Uterine Cavity ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Uterine Horn ◽  
Mato Grosso ◽  
Mating History ◽  
Veterinary Hospital

Background: The uterine horn agenesis or aplasia is a rare anomaly consisting of absence or incomplete development of the paramesonephric ducts that origin the uterine horns. This change occurs during fetal formation and may occur concomitantly to agenesis of the ovary and/or ipsilateral kidney. The extra-uterine pregnancy consists of fetal growth outside the uterine cavity and can occur as a tubal or abdominal pregnancy. We report here the case of a 7-years-old mix breed dog, attended at the Veterinary Hospital of the Federal University of Mato Grosso, with accidental diagnosis of agenesis of uterine horn and ovaries and ectopic fetal mummifcation.Case: A 7-years-old mix breed dog, not spayed, was attended at the Veterinary Hospital of the Federal University of Mato Grosso (HOVET-UFMT), complaining of mucous bloody vaginal discharge. The patient had regular estrus and was multiparous. There was no mating history in the last estrus neither trauma over the past months. In previous pregnancies the patientpresented eutocic labors. On physical examination the dog showed apathy although it was alert, pale mucous membranes, presence of perivulvar blackish secretion and discreet abdominal enlargement. As preoperative exams, a complete blood count, liver and renal function (serum creatinine and alanine aminotransferase) were performed. It has also performedthe abdominal ultrasound examination, which revealed the presence of uterus flled with hypoechoic luminal content and a thickened and irregular wall. The patient was referred to therapeutic ovariohysterectomy (OHE). After anesthesia and antisepsis, the access to the abdominal cavity was made, where there was a mummifed fetus with approximately 15.5 cmfrom neck to tail set, equivalent to 57 days of gestation. After removal of the papyraceus fetus, the uterus was found and then, when exposed, there was only the left uterine horn flled by content and ovarie, both were removed. After inspection, the synthesis of the abdominal cavity was carried out as the routine. During the postoperative period, the patient had no complications or other clinical signs similar to those observed in the initial presentation. Antibiotic (enrofloxacin 5 mg/kg every 12h), analgesic (dipyrone 20 mg/kg every 8 h) and non-steroidal anti-inflammatory (meloxicam 0.2 mg/kg every 24 h) were prescribed. The fetus and uterus were sent to the Veterinary Pathology UFMT Laboratory (PVL-HOVET).The fetus was covered by omentum and fat. After the initial incision, there was a hard fbrous capsule surrounding the mummifed fetus. There were no recent signs of rupture or scarring resulting from previous trauma in the uterus. Its size was 15x4.8x2.8 cm and it was flled out with mucus bloody brownish secretion (pyometra). Microscopically, had purulent inflammatory infltrate, diffuse and severe in mucosa and submucosa associated with cell debris and moderate hyperplasia glands containing microabscesses inside.Discussion: Reports of extra-uterine fetal mummifcation in dogs and cats are scarce. Even being reported infrequently in dogs if congenital uterine and ovarian abnormalities are found during surgery, a detailed inspection of the abdominal cavity should be performed in order to rule out the possible presence of the ipsilateral ovary. Even with the lack of specifc clinical signs, fetal ectopy can be diagnosed through a detailed clinical examination and image exams. Exploratory laparotomy can be used as a diagnostic and therapeutic tool, since the treatment is the excision of ectopic tissue and OHE in cases of uterine rupture.Keywords: aplasia, fetus, mummifcation, unicornuate uterus.

scholarly journals The Role of Hydrocolonic Sonography in Diagnostics of the Intussusceptions due to Neoplastic Process in Children

2019 ◽  
Vol 9 (1) ◽  
pp. 5-12
Author(s):  
M Yu. Yanitskaya ◽  
I. A. Turabov
Keyword(s):  
Surgical Treatment ◽  
Abdominal Cavity ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
Gastrointestinal Diseases ◽  
Loss Of Weight ◽  
Abdominal Colic ◽  
Neoplastic Process ◽  
Mesenteric Node

Introduction. A nonsurgical reduction is the treatment of choice for intestinal intussusception. A neoplasm-associated intussusception always requires surgery. In case of a tumour it is very important to have the diagnosis determined prior to surgical treatment. The hydrocolonic sonography technique makes it possible to assess the tissue structure and to visualize the lumen of the intestine.Materials and methods. The study presents a retrospective comparative analysis of clinical manifestations and diagnosis methods in all the patients with intussusception (n = 380) treated at the Arkhangelsk Children’sClinicalHospital in 1981–2018. This included all the neoplasm-associated intussusception cases (tumours and polyps). The data was compared to clinical manifestations of intussusception associated with other causes (idiopathic, mesenteric node hyperplasia, diverticulum).Results. Neoplasm-associated intussusception is a rare occurrence (2.3%). If the cause of the intussusception is a tumour the typical recorded manifestations include the combination of the signs of gastrointestinal diseases and loss of weight (8–12%), and a chronic course of development (over one to three months). Polyp-associated small intestinal and ileocolic intussusception, a casuistically rare situation, first manifested as an acute intestinal obstruction with protracted abdominal pain syndrome in anamnesis, or recurrent intussusceptions. Traditional and hydrocolonic sonography made it possible to make the diagnosis of intussusception and to identify a tumour. Non-tumour-associated intussusception presented with an acute course of the disease in every case. It manifested with the typical triad of symptoms (abdominal colic pain, rectal haemorrhage, palpable intussusceptum mass) in every third case. The manifestation of the disease as the dyad of symptoms (vomiting and abdominal colic pain) was significantly more frequent (p = 0.001).Conclusions. Clinical presentation of neoplasm-associated intussusception has certain unique qualities. The ultrasound of abdominal cavity and hydrocolonic sonography make it possible to find the intussusception and to identify the tumour or polyp in the structure of the intussusceptum in 100 % of cases at primary examination. The data obtained is used for the optimisation of the surgical treatment strategy.

scholarly journals Intra-abdominal bleeding in a horse: not always of traumatic origin

2019 ◽  
Vol 88 (1) ◽  
pp. 34-38
Author(s):  
L. De Lange ◽  
A. Dufourni ◽  
L. Lefère ◽  
L. Sonck ◽  
G. Van Loon
Keyword(s):  
Abdominal Cavity ◽  
Clinical Signs ◽  
Pelvic Mass ◽  
Pelvic Cavity ◽  
Neoplastic Cells ◽  
Presumptive Diagnosis ◽  
Abdominal Bleeding ◽  
Neoplastic Process ◽  
Traumatic Origin ◽  
Von Willebrand

A nine-year-old warmblood mare was presented with clinical signs of mild colic and fever. On percutaneous ultrasound of the abdomen, a mass was identified on the left side of the abdomen between the spleen and the stomach. During examination the following day, intra-abdominal blood was observed. On rectal examination, a mass was palpated in the pelvis. The presumptive diagnosis of hematoma with intra-abdominal bleeding was made. On consecutive ultrasounds and radiographs, the mass evolved in shape and other masses were identified in the liver and the lungs. No change was noticed in the pelvic mass. Cytology and histology of a tru-cut liver biopsy revealed abnormal, most likely neoplastic cells, whereas cytology of the abdominal and thoracic fluid did not reveal any neoplastic cells. Due to the presence of several rapidly growing masses, a neoplastic process was most likely. Because of the malignant character of the disease and the persistence of the clinical signs, euthanasia was suggested but refused by the owner. Supportive treatment was instituted. Initially, the general condition remained stable, after which the horse suddenly collapsed and died. Post-mortem examination revealed a primary neoplasm located in the pelvic cavity, as well as multiple disseminated masses within several tissues. The mass found in the liver had ruptured with loss of probably 50 liters hemorrhagic fluid within the abdominal cavity. Based on gross pathology, cytological and histological findings, a hemangiosarcoma was suspected. This diagnosis was confirmed using immunohistochemistry for von Willebrand factor. In this case report, the importance of differentiating hematoma from hemangiosarcoma in the horse is highlighted.

scholarly journals Ultrasonic control over the course of the postnatal period and diagnosis of obstetric pathology in the bitches

2019 ◽  
pp. 12-19
Author(s):  
S. Cherkavskyi ◽  
S. Vlasenko ◽  
O. Jerochenko
Keyword(s):  
Postpartum Period ◽  
Abdominal Cavity ◽  
Uterine Cavity ◽  
Postnatal Period ◽  
Uterine Wall ◽  
Pelvic Cavity ◽  
Uterine Involution ◽  
Postpartum Involution ◽  
Heterogeneous Tissue ◽  
Amniotic Membranes

The article presents the results of ultrasound examination of uterine females in the postpartum period. It is established that during its physiological course on the 3rd day, the cervix and body of the uterus are placed in the pelvic cavity dorsally with respect to the bladder, and the horns of the uterus - in the abdominal cavity cranially, in the area of - the loops of the large intestine. On the ultrasound it is noted that the horns of the uterus are expanded, with a diameter of 15-18 mm. The walls of the horns are thickened, with sections from 4 mm to 6 mm. Its tissues are of average echogenicity, of heterogeneous consistency. Hypoechoic homogeneous content is observed in the visualized uterine cavity. In females with delayed litter during this period, uterine horns with a diameter of 1.91–1.96 cm were visualized, with a thickened wall that had hypoechoic areas. In addition, the endometrial relief was folded, uneven, and in some places, its desquamated fragments were visualized. Diagnostic sign of delay of litter was the detection in the uterine cavity of tissue structures of amniotic membranes with increased echogenicity. On the 7th day after childbirth, ultrasound signs of metritis were detected on the background of the delay of the litter. The uterine wall reached 3.3–3.9 cm, had a heterogeneous tissue structure and increased echogenicity. In the internal relief of the uterus, areas of desquamated endometrium were visualized and hyperechogenic contents were present in the uterine cavity. It is proved that ultrasound scan of the uterus into the bough is an eff ective method of monitoring the course of postpartum involution and provides early diagnosis of obstetric pathology. The main diagnostic ultrasound indicator for the delay of litter in the boughs is the visualization of the structures of the amniotic membranes in the uterine cavity, hyperechogenic areas and thickening of its walls. The development of postpartum metritis is indicated by signifi cant thickening of the uterus and its mucous membrane, areas of desquamated endometrium and the presence of hyperechoic content in the uterine cavity. Key words: bitch, postpartum period, uterine involution, delay of litter, metritis, ultrasound.

scholarly journals Missing IUD Despite Threads at the Cervix

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Andrew L. Atkinson ◽  
Jonathan D. Baum
Keyword(s):  
Intrauterine Device ◽  
Uterine Cavity ◽  
Uterine Perforation ◽  
Pelvic Magnetic Resonance Imaging ◽  
Multiple Imaging ◽  
Gentle Traction ◽  
Diagnostic Hysteroscopy ◽  
Magnetic Resonance Imaging Mri ◽  
And Migration

Today, the intrauterine device (IUD) is by far the most popular form of long term reversible contraception in the world. Side effects from the IUD are minimal and complications are rare. Uterine perforation and migration of the IUD outside the uterine cavity are the most serious complications. Physician visualization and/or the patient feeling retrieval threads at the cervical os are confirmation that the IUD has not been expelled or migrated. We present a case of a perforated, intraperitoneal IUD with threads noted at the cervical os. Office removal was not possible using gentle traction on the threads. Multiple imaging and endoscopic modalities were used to try and locate the IUD including pelvic ultrasound, diagnostic hysteroscopy, cystoscopy, and pelvic magnetic resonance imaging (MRI). The studies gave conflicting results on location of the IUD. Ultimately, the missing IUD was removed via laparoscopy.

scholarly journals Migration of intrauterine device into the pelvic cavity: exploration strategy and management in African environment

2017 ◽  
Vol 6 (2) ◽  
pp. 757
Author(s):  
Abdoul Aziz Diouf ◽  
Moussa Diallo ◽  
Omar Gassama ◽  
Mouhamadou Mansour Niang ◽  
Mariétou Thiam ◽  
...  
Keyword(s):  
Rare Complication ◽  
Intrauterine Device ◽  
Pelvic Cavity ◽  
Uterine Perforation ◽  
Insertion Technique ◽  
Exploration Strategy ◽  
And Migration

IUD migration is a rare complication. We report our experience in the treatment of five cases of uterine perforation and migration of IUDs. The average age of patients was 34.6 years, an average parity was 4. All patients felt an unusual pain during insertion of the IUD Tcu 380A. The location of the IUD was done through ultrasound and hysterography. Removal by laparoscopy was performed in all cases. The immediate impacts of the surgery were simple. Hysterography has its place in the location of the migrated IUD. Prevention is a good IUD insertion technique.

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