IUD perforation and embedment within omentum: a rare and perplexing incidence

intrauterine rarely fail which results in pregnancy. Meanwhile, these devices can perforate uterine and migrate through abdomen. Our case experienced IUD failure and perforation simultaneously and the device was embedded in omentum and shifted rapidly which made it hard to localize and could only be removed using ultrasonography guidance

Ultrasonography-guided sialolithotomy and stricture dilations of the major salivary glands: a preliminary study

Aim of the study: The present preliminary study aims to evaluate the possible positive outcomes of ultrasonography-guided sialolithotomies and duct stricture dilations utilizing stone retrieval baskets and guide wires. Case description: A total of 6 cases in an ongoing study (4 cases of sialolithiasis and 2 cases of duct strictures with intraluminal adhesion) were analyzed. All sialoliths were <5 mm in diameter. Stone removals and duct dilations were performed under ultrasonography guidance with two different types of linear probes. Edema measurements were carried out, and the area of edema was evaluated via the echogenicity changes. Patient satisfaction was also evaluated by the patients themselves using a Visual Analog Scale questionnaire on postoperative day 0, and on days 1, 2, and 3. Conclusions: There were no postoperative complications, and mouth openings returned to normal at 7-day follow-up. The pain scores decreased after 6 hours, and pain subsided completely after 12 hours in all the patients. Edema also resolved gradually after the operation. The patient satisfaction levels were high.

Contribution of Interventional Radiologist in the Management of Pseudoaneurysm and Neck Hemorrhages in COVID-19 patients

Patients with severe coronavirus disease 2019 (COVID-19) may have endothelial inflammation, pseudoaneurysm, and an increasing risk of bleeding, especially during surgical procedures. In this article, we reported 2 cases of COVID-19 patients with neck vascular lesions. The first patient had pseudoaneurysm of the cricothyroid artery, which was treated by percutaneous glue injection through ultrasonography guidance. The second patient presented lateral neck hematoma in front of the left superior thyroid artery, which was managed by coil endovascular embolization. In the context of pandemic, the management of vascular lesions may be performed through interventional radiological procedures that may reduce the risk of virus aerosolization and health care provider contamination.

Are Number of Passes Related with Complications in Pediatric Native Kidney Biopsies?

Objective: The aim of this study was to determine the relationship between number of passes and complications in pediatric native kidney biopsies performed under ultrasonography guidance. Methods: Forty-nine children who underwent native kidney biopsies using a 16 Gauge semi-automatic needle between 03/2019-03/2020 were included in the study. All patients were evaluated with ultrasonography before and after biopsy procedure to detect complication(s). Two or more passes were performed in most cases where electron microscopy was required. Requirement for transfusion or intervention was considered as a major complication. The technical success was calculated considering number of glomeruli harvested. Number of passes were compared with complication rates and number of glomeruli sampled. In statistical analysis, chi-square, t-test, and ANOVA tests were used. Results: Minor, major complications and technical success rates were 36.7%, 0% and 100%, respectively. Number of passes were 1 in 4, 2 in 30, 3 in 11 and 4 in 4 cases. Increasing number of passes were related with higher complication rates (p=0.002). The complication rates were 23.5%, and 66.7% when ≤2, and ≥3 passes were used. Complication rate was higher when ≥3 passes were used (p=0.009), without any increase in the number of glomeruli sampled (p=0.839). Conclusion: Pediatric native kidney biopsy was a safe procedure using 16 Gauge needle under ultrasonography guidance. Three of more passes caused an increase in minor complication rates without any increase in the number of glomeruli sampled.

Uterine Conserving Surgery in Patient With Cervicovaginal Agenesis: A Case Report

Congenital absence of the vagina with variable uterine development known as Mullerian agenesis or Mayer-Rokitansky-Kuster-Hauser syndrome. Cervicovaginal agenesis in the presence of normal uterus is very rare. Conservative surgery has recently been suggested in patients with congenital cervicovaginal atresia in order to relieve the symptoms and maintain fertility. A 13-year-old female referred to a pelvic floor clinic, because of primary amenorrhea and severe cyclic pelvic pain. Ultrasonography revealed a large amount of blood accumulation in the uterine cavity, and also, the cervicovaginal agenesis was reported. Both ovaries were normal. A neovagina was created by dissection of the space between the bladder and rectum. Under ultrasonography guidance, two Pezzer catheters were inserted between uterine ending and neovagina, so the catheters kept the canal patent, a soft mould was applied to prevent the vaginal stricture. Cervicovaginal agenesis, accompanied by normal functional endometrium, is a rare but challenging Mullerian anomaly in the case of surgical treatment. One of the successful conservative treatment in a fully educated patient is the vaginal reconstruction and uterovaginal anastomosis by stenting and continues the application of vaginal mould.

A new access, Dermatorrhea, 10 samples of the great saphenous vein

We devised a method that enables blood removal/return by creating a fistula between the skin and the great saphenous vein to insert the dialysis needle sheath in the femoral vein under ultrasonography guidance with respect to each dialysis. We report the principles, methods, and cases. A skin-great saphenous vein fistula is created under local anesthesia. It is used for blood removal/return during maintenance hemodialysis performed immediately after creating the fistula. Ten limbs of 10 patients (three men and seven women; mean age, 77.6 ± 4.8 years; dialysis history, 9.9 ± 13.0 years), where skin-great saphenous vein fistulas were created in our hospital between May 2017 and June 2018, were included. In all the cases, an arteriovenous fistula or arteriovenous graft was difficult to create because of the general condition and/or vascular fitness of the patients. During or after the fistula-creating surgery, no serious complications were found. No complications such as blood removal failure, infection, or hemorrhage were found during the follow-up period. The primary patency rates by the Kaplan–Meier method were 100% at 3 months and 67.5% at 6 months. This method is considered a valuable substitute method for cases with difficulty in creating a vascular access.