1/5. uterine hemorrhage in a menopausal female associated with an arteriovenous malformation and myometritis.A case is described of vaginal bleeding in a 67-year-old female as the first manifestation of a uterine arteriovenous malformation (AVM). Although bleeding is the commonest presentation of an AVM, this is the first case known to have been precipitated by florid myometritis associated with the long-standing presence of an intra-uterine contraceptive device (IUCD). Uterine imaging studies utilising ultrasound scan with color Doppler were instrumental in suggesting the source of bleeding in this case. Subsequently, the patient suffered a torrential hemorrhage which necessitated hysterectomy.- - - - - - - - - - ranking = 1keywords = device (Clic here for more details about this article) |
2/5. pasteurella multocida and intrauterine device: a woman and her pets.Human infections with pasteurella multocida are frequently attributed to transmission from animals. Although some cases of prosthetic implant infections have been described few gynecological cases have been reported. We describe a case of intrauterine device endometritis due to P. multocida.- - - - - - - - - - ranking = 5keywords = device (Clic here for more details about this article) |
3/5. copper accumulation in actinomyces druses during endometritis after long-term use of an intrauterine contraceptive device.A 32-year-old woman carried a copper intrauterine contraceptive device (IUCD) or intrauterine pessar (IAP) for more than 5 years. She had acyclic menstrual bleedings and underwent a corpus abrasio after explantation of IUCD. The histological study of paraffin sections showed an actinomycotic endometritis with brown to black deposits in or around typical actinomyces druses, but there was no carcinoma. The electron microscopic study of these accumulations by electron energy loss spectroscopy (eels) in TEM demonstrated copper deposits in the shell and matrix of these druses as well as inside the bacteria. With scanning electron microscopy (SEM) and Energy Dispersive X-Ray Analysis (EDX), the electron-dense accumulations revealed high signals for copper and sulfur, but also of phosphorus and oxygen in a lower extent. This copper accumulation is discussed as an active uptake and concentration by these actinomyces bacteria.- - - - - - - - - - ranking = 5keywords = device (Clic here for more details about this article) |
4/5. Spontaneous bacterial peritonitis associated with an intrauterine device.Intrauterine contraceptive devices (IUD) have been associated with the induction of chronic anaerobic endometritis as well as superimposition of exogenous sexually transmitted diseases and unilateral tubo-ovarian abscesses. We report an unusual case of spontaneous bacterial peritonitis in a patient with ascites and an IUD. Bacteriological data support the concept that the source of infection was a chronic mixed endometritis induced by prolonged use of an IUD (16 years). In the presence of ascites, a localized endometritis with its reservoir of bacteria provided the medium for systemic disease.- - - - - - - - - - ranking = 5keywords = device (Clic here for more details about this article) |
5/5. Loss of radiopacity may impede localization of intrauterine contraceptive device.While ultrasound is the primary modality for localization of an intrauterine contraceptive device, plain films are often employed if the ultrasound examination is negative. A case is reported in which loss of radiopacity hampered identification of an intrauterine device.- - - - - - - - - - ranking = 6keywords = device (Clic here for more details about this article) |