RESUMO
This report describes an asymptomatic perforation with the GyneFix intrauterine contraceptive implant. A review of all other reports of this complication has been performed. Analysis of these reports suggests prolonged amenorrhoea secondary to continuous progestogen use as a possible common predisposing factor.
Assuntos
Dispositivos Intrauterinos de Cobre/efeitos adversos , Perfuração Uterina/diagnóstico por imagem , Perfuração Uterina/etiologia , Adulto , Feminino , Migração de Corpo Estranho/diagnóstico por imagem , Humanos , Fatores de Risco , Fatores de Tempo , Resultado do Tratamento , Ultrassonografia , Perfuração Uterina/cirurgiaRESUMO
OBJECTIVE: To describe the use of a Malecot catheter as a stent after radical trachelectomy (RT). DESIGN: Case report. SETTING: Assisted conception unit at a teaching hospital in the United Kingdom. PATIENT(S): A 36-year-old woman undergoing IVF after her cervix had been excised for cervical carcinoma. Previous attempts at embryo transfer (ET) had been very traumatic and required a transmyometrial transfer on one occasion. INTERVENTION(S): A Malecot catheter was inserted into the uterine cavity after a dilatation procedure had been performed and removed before ovarian stimulation. MAIN OUTCOME MEASURE(S): Ease of ET. RESULT(S): The subsequent ET was much more straightforward. CONCLUSION(S): This technique can facilitate ET after RT if the passage is found to be stenosed.