1/12. pseudomonas aeruginosa-infected IUD associated with pelvic inflammatory disease. A case report.BACKGROUND: While pelvic infection is known to be an infrequent complication of intrauterine device (IUD) use, infections are usually related to microorganisms introduced at the time of insertion or by sexual contact. CASE: We diagnosed a 35-year-old woman with an IUD for 6 years with pelvic inflammatory disease (PID) and implemented antibiotic therapy. Her clinical course worsened, and exploratory surgery revealed a right tuboovarian abscess with multiple loculated pelvic abscesses. culture of the IUD found heavy growth of pseudomonas aeruginosa. CONCLUSION: P aeruginosa has not previously been described in association with infections of the upper female genital tract. Double coverage with appropriate antipseudomonal agents is essential for proper treatment of pseudomonal infections.- - - - - - - - - - ranking = 1keywords = device (Clic here for more details about this article) |
2/12. Actinomycotic tubo-ovarian abscess mimicking pelvic malignancy.A 39-year-old multipara was admitted to hospital with lower abdominal pain. She had used an intrauterine device (IUD) for 10 years. Three years ago, her tubes were ligated. Ultrasound examination revealed a 9.5 x 6 cm multiloculated cystic mass in the right part of her lower abdomen. CA-125 was also found to be increased. Since ovarian malignancy was suspected, laparotomy was performed. Pathologically, an actinomycotic tubo-ovarian abscess with sulfur granules was disclosed.- - - - - - - - - - ranking = 1keywords = device (Clic here for more details about this article) |
3/12. Tubal migration: a rare complication of an intrauterine contraceptive device leading to formation of a hydrosalpinx.This is a case report of a unilateral hydrosalpinx caused by tubal migration of a copper intrauterine contraceptive device. A 33-year-old woman underwent laparoscopic right salpingectomy for a hydrosalpinx. During the procedure, a copper intrauterine contraceptive device was found protruding from the distal end of the hydrosalpinx.- - - - - - - - - - ranking = 15.592445236071keywords = migration, device (Clic here for more details about this article) |
4/12. Iatrogenic uterine rupture caused by overinflation of RUMI manipulator balloon.The RUMI uterine manipulator is a useful device for uterine mobilization and chromopertubation during laparoscopic surgery. We report two cases of iatrogenic uterine rupture caused by overinflation of the intrauterine balloon of the RUMI manipulator during chromopertubation. One rupture, which occurred on the uterine fundus, simply was sutured during surgery. The other rupture, which occurred into the uterine lateral wall, caused retroperitoneal hematoma. A second operation was required to treat this complication. Overinflation of the tip balloon of the RUMI manipulator during chromopertubation can cause uterine rupture that can result in massive hematoma.- - - - - - - - - - ranking = 1keywords = device (Clic here for more details about this article) |
5/12. Tuboovarian abscess mimicking intraligamentar uterine myoma and a intrauterine device: a case report.A case study is presented of tubo-ovarian abscess (pathohystological-verified actinomycosis) in a 41-year-old woman with an intrauterine device (IUD), which on US was found to be imposed upon an intraligamentary degenerated myoma (pyomyoma). The patient was afebrile, with normal vital functions (diuresis, blood pressure and pulse). Exposure of the abdominal cavity by lower transverse laparotomy performed under general endotracheal anaesthesia revealed slight uterus enlargement with normal left adnexa, whereas right adnexa were not exposed due to the soft tumour in the region of the right ligamentum latum, which displaced the urinary bladder and uterus leftward. The peritoneum fold was incised and deprepared, revealing a tumorous formation imposed onto the myoma or onto the 'cold' tubo-ovarian abscess. Total hysterectomy was then performed. Left adnexa showed a normal finding. Hemalaun-eosin staining of the preparation of the tumour capsule and tumour content showed colonies of threads extending radially to the surrounding tissues (drusen), surrounded by pus corpuscles, polymorphonuclears and macrophages containing lipids (sulfur granules). The patient was free from disease relapse at 2 years after the procedure. Thus, total abdominal hysterectomy and salpingoophorectomy, along with antibiotic therapy, were the definite mode of treatment for pelvic actinomycosis.- - - - - - - - - - ranking = 5keywords = device (Clic here for more details about this article) |
6/12. Ectopic pregnancy in a preexisting hydrosalpinx during a spontaneous pregnancy.OBJECTIVE: To discuss the possible role of abnormal embryo migration as a cause of ectopic pregnancy during IVF with hydrosalpinges. DESIGN: Case report. SETTING: University-based reproductive endocrinology and fertility clinic. PATIENT(S): A patient presenting with a tubal ectopic pregnancy after spontaneous conception in a preexisting hydrosalpinx. INTERVENTION(S): Laparoscopic salpingectomy. MAIN OUTCOME MEASURE(S): Ultrasound and operative findings. RESULT(S): Case demonstration of abnormal embryo migration into a surgically documented preexisting hydrosalpinx during a spontaneous conception. CONCLUSION(S): The mechanism of increased tubal ectopic pregnancy rates during IVF with hydrosalpinges remains unexplained. This case supports abnormal embryo migration due to the hydrosalpinx as a contributing factor.- - - - - - - - - - ranking = 5.7554671416428keywords = migration (Clic here for more details about this article) |
7/12. New technique for selective transcervical osteal salpingography and catheterization in the diagnosis and treatment of proximal tubal obstruction.Transcervical fallopian tube catheterization to recanalize the proximal (uterine end) fallopian tube are rapidly gaining acceptance for the diagnosis and treatment of tubal obstruction. We describe a new simplified technique for performing this procedure. Our technique obviates the need for hysterocaths and assures delivery of an atraumatic spherical tip of a cannula to the uterotubal junction. Compared with other techniques, it is quick with no need for IV or paracervical anesthesia or analgesia, no cervical dilatation, nor the use of Hyskon nor CO2 insufflation devices.- - - - - - - - - - ranking = 1keywords = device (Clic here for more details about this article) |
8/12. Ectopic pregnancies due to contralateral fistulas after sterilization by electrocoagulation; case reports.Three cases of post-sterilization tubal pregnancy are discussed. The sterilizations were performed by bipolar electrocoagulation. The location of the pregnancy was distal to the site of sterilization. There was no continuity between the segment containing the ectopic pregnancy and the uterus. spermatozoa reached the site of fertilization via a tuboperitoneal fistula. The existence of the fistulas was confirmed by a methylene blue test. In two cases fistulas existed on the contralateral side to the ectopic pregnancy. In the third case, bilateral fistulas were found. So, on performing a salpingectomy for ectopic pregnancy after sterilization failure, we have to be aware of contralateral fistulas. Also good understanding of the mechanism of extra-uterine pregnancy secondary to transperitoneal migration of spermatozoa is important when doing conservative tubal surgery.- - - - - - - - - - ranking = 1.9184890472143keywords = migration (Clic here for more details about this article) |
9/12. Tuboovarian abscess associated with candida glabrata in a woman with an intrauterine device. A case report.Candidal infection has been associated extensively with serious infections. Its role in genital tract infections has consisted largely of vulvovaginitis, with serious upper genital tract infection a rarity. A 47-year-old woman with an intrauterine device had candida glabrata in a large tuboovarian abscess and recovered only after removal of the abscess and treatment with amphotericin b.- - - - - - - - - - ranking = 5keywords = device (Clic here for more details about this article) |
10/12. A rare case of IUD tubal migration. Case report.The Authors describe a rare case of IUD tubal migration. The uterine device had been inserted twelve years before. A hysteroscopical removal of the IUD was tried unsuccessfully, because it was impossible to locate it either in the uterine cavity or at the fallopian tube orifice level. The patient underwent a minilaparotomy and the IUD was found out at the peritubal level. An ecographic control of all intrauterine devices insertions is recommended.- - - - - - - - - - ranking = 11.592445236071keywords = migration, device (Clic here for more details about this article) |
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