RESUMO
The obstetrical ultrasound may identify the protrusion of the uterine surface or placental area into the amniotic cavity. The differential diagnosis of this pathology with uterine adhesions, septate uterus, circumvallate placenta, amniotic band or amniotic sheet can be sometimes difficult. The purpose of the pictorial essay is to exemplify the presence of the amniotic sheet and circumvallate placenta in routine obstetrics screening of all trimesters of pregnancy.
Assuntos
Âmnio/diagnóstico por imagem , Osso e Ossos/anormalidades , Hemorragia/diagnóstico por imagem , Aumento da Imagem/métodos , Doenças Placentárias/diagnóstico por imagem , Placenta/anormalidades , Poli-Hidrâmnios/diagnóstico por imagem , Insuficiência Respiratória/diagnóstico por imagem , Ultrassonografia Pré-Natal/métodos , Doenças Uterinas/diagnóstico por imagem , Osso e Ossos/diagnóstico por imagem , Diagnóstico Diferencial , Feminino , Humanos , Posicionamento do Paciente/métodos , Placenta/diagnóstico por imagem , Gravidez , Reprodutibilidade dos Testes , Sensibilidade e EspecificidadeRESUMO
Intrauterine contraceptive devices (IUCD) are one of the most popular and modern means of contraception used worldwide. Some described complications include perforation, infection and ectopic pregnancy. Herein we report an uncommon complication of IUCD: perforation and migration in the terminal ileum. A 56-year-old woman presented to our institution with lower abdominal pain. She had had an IUCD placed 29 years previously. The IUCD was inserted in unsafe conditions since then it was prohibited in Romanian to use any contraception device or pills. The IUCD was placed clandestinely in uncertain condition and could never be checked after. An exploratory laparotomy evidenced the presence of IUCD migrated to terminal ileum. A 56-year-old woman presented to our institution with lower abdominal pain. She had had an IUCD placed 29 years previously. The IUCD was inserted in unsafe conditions since at that time it was prohibited in Romania to use any contraceptive device or pills. The IUCD was placed clandestinely in uncertain condition and a follow-up could not have been performed. An exploratory laparotomy evidenced the presence of IUCD which had migrated to the terminal ileum. This case demonstrates an unusual localisation of an IUCD in the ileum, but the particularity is that we found it after 29 years of its insertion and and the patient had no specific gastrointestinal symptoms.