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MYOMETRİUM LOKALİZASYONLU RAHİM İÇİ ARAÇ

Year 2017, , 224 - 227, 18.12.2017
https://doi.org/10.24938/kutfd.327864

Abstract

Kadınlar
menopoza kadar etkili bir kontrasepsiyon yöntemine ihtiyaç duyarlar. Rahim içi
araç (RİA) istenmeyen gebelik insidansını azaltan etkili ve uzun ömürlü bir
kontrasepsiyon yöntemidir. Bu çalışmada atipik olarak myometriuma lokalize
olmuş RİA tespit edilen 3 yıldır postmenopozda olan kadın hasta sunulmuştur.

53 yaşında,
3 yıldır postmenopoz döneminde olan kadın hasta jinekoloji polikliniğine RİA
çıkarılması istemi ile başvurdu. RİA, 13 yıl önce uterin kavite içerisine
yerleştirilmiş ve menopoz başlangıç safhasında başarısız bir RİA çıkartım
deneme öyküsü mevcuttu. Jinekolojik muayene; serviks atrofik, eksternal
servikal os stenotik ve RİA ipi izlenmemekteydi. Transvajinal ultrasonografide
RİA ekojenitesi endometrial çizgide izlendi. Yapılan histereskopide ise uterin
kavitede RİA izlenmedi. Sonuçta RİA’nın myometriuma penetre olduğuna karar
verildi. Hastaya gerekli bilgilendirme yapılarak ek bir müdehale yapılmaksızın
taburculuğu gerçekleştirildi.





Postmenopozal
kadınlarda RİA çıkarılması işlemlerinde myometrial penetrasyon olabileceği
akılda tutulmalıdır. Bu olgularda konservatif yaklaşım bir seçenek olabileceği
gibi obez olmayan hastalarda histerektomi de yapılabilir.

References

  • 1. Thonneau P, Goulard H, Goyaux N. Risk factors for intrauterine device failure: a review. Contraception 2001;64:33–7.
  • 2. Zakin D, Stern WZ, Rosenblatt R. Complete and partial uterine perforation and embedding following insertion of intrauterine devices. II. Diagnostic methods, prevention, and management. Obstet Gynecol Surv 1981;36:401–17. 3. Cetinkaya K1, Kumtepe Y, Ingec M. Minimally invasive approach to cases of lost intra-uterine device: a 7-year experience. Eur J Obstet Gynecol Reprod Biol. 2011;159:119-21. 4. Rao RP. Lost intrauterine devices and their localization. J Reprod Med 1978;20:195–9
  • 5. Gentile JP, Siegler AM. The misplaced or missing IUD. Obstet Gynecol Surv 1977;32:627–41.
  • 6. El Kady AA, Rifat HA, El Hosseiny MA, Gaffar GY. The value of X-ray with uterine sound in the diagnosis ofIUDs with missing tails.Adv Contracept 1986;2:161–7
  • 7. Trivedi SS, Goel M, Jain S. Hysteroscopic management of intrauterine devices with lost strings. Br J Fam Plann 2000;26:229–30
  • 8. Andersson K, Ryde-Blomqvist E, Lindell K, Odlind V, Milsom I. Perforations with intrauterine devices. Report from a Swedish survey. Contraception 1998;57:251–5.

Intrauterine Device Localized in the Myometrium

Year 2017, , 224 - 227, 18.12.2017
https://doi.org/10.24938/kutfd.327864

Abstract

Women
require effective contraception until they reach menopause. The intrauterine
device (IUD) is an effective and long-acting method that decreases the
incidence of unwanted pregnancy.  We aimed
to present a case of atypical located IUD in a woman experiencing three years
menopause.

A 53 years
old woman attended the gynecological out-patient clinic with expectation of IUD
removal. The IUD was inserted into uterine cavity 13 years ago and at the
beginning of menopause, there was an unsuccessful IUD removal experiment. In
her gynecological examination: cervix was atrophic, external os was stenotic
while the string of IUD was not seen. During transvaginal ultrasonography, IUD
echogenity was seen in endometrial line. In hysteroscopic uterine cavity
observation, there was no IUD. We concluded that the IUD had penetrated into
the myometrium. No futher evaluation was done and the patient was informed
about the condition of IUD.





Myometrial
penetration must be kept in mind especially for removal of IUDs in menopausal
patients. Conservative management is one of the choices for this condition.
Hysterectomy can also be performed on non-obese patients.

References

  • 1. Thonneau P, Goulard H, Goyaux N. Risk factors for intrauterine device failure: a review. Contraception 2001;64:33–7.
  • 2. Zakin D, Stern WZ, Rosenblatt R. Complete and partial uterine perforation and embedding following insertion of intrauterine devices. II. Diagnostic methods, prevention, and management. Obstet Gynecol Surv 1981;36:401–17. 3. Cetinkaya K1, Kumtepe Y, Ingec M. Minimally invasive approach to cases of lost intra-uterine device: a 7-year experience. Eur J Obstet Gynecol Reprod Biol. 2011;159:119-21. 4. Rao RP. Lost intrauterine devices and their localization. J Reprod Med 1978;20:195–9
  • 5. Gentile JP, Siegler AM. The misplaced or missing IUD. Obstet Gynecol Surv 1977;32:627–41.
  • 6. El Kady AA, Rifat HA, El Hosseiny MA, Gaffar GY. The value of X-ray with uterine sound in the diagnosis ofIUDs with missing tails.Adv Contracept 1986;2:161–7
  • 7. Trivedi SS, Goel M, Jain S. Hysteroscopic management of intrauterine devices with lost strings. Br J Fam Plann 2000;26:229–30
  • 8. Andersson K, Ryde-Blomqvist E, Lindell K, Odlind V, Milsom I. Perforations with intrauterine devices. Report from a Swedish survey. Contraception 1998;57:251–5.
There are 6 citations in total.

Details

Subjects Health Care Administration
Journal Section Case Reports
Authors

Cemile Dayangan Sayan

Zehra Sema Özkan

Gülçin Aydın This is me

Funda Erdoğan This is me

Zeynep İslambay This is me

Publication Date December 18, 2017
Submission Date July 11, 2017
Published in Issue Year 2017

Cite

APA Dayangan Sayan, C., Özkan, Z. S., Aydın, G., Erdoğan, F., et al. (2017). Intrauterine Device Localized in the Myometrium. The Journal of Kırıkkale University Faculty of Medicine, 19(3), 224-227. https://doi.org/10.24938/kutfd.327864
AMA Dayangan Sayan C, Özkan ZS, Aydın G, Erdoğan F, İslambay Z. Intrauterine Device Localized in the Myometrium. Kırıkkale Üni Tıp Derg. December 2017;19(3):224-227. doi:10.24938/kutfd.327864
Chicago Dayangan Sayan, Cemile, Zehra Sema Özkan, Gülçin Aydın, Funda Erdoğan, and Zeynep İslambay. “Intrauterine Device Localized in the Myometrium”. The Journal of Kırıkkale University Faculty of Medicine 19, no. 3 (December 2017): 224-27. https://doi.org/10.24938/kutfd.327864.
EndNote Dayangan Sayan C, Özkan ZS, Aydın G, Erdoğan F, İslambay Z (December 1, 2017) Intrauterine Device Localized in the Myometrium. The Journal of Kırıkkale University Faculty of Medicine 19 3 224–227.
IEEE C. Dayangan Sayan, Z. S. Özkan, G. Aydın, F. Erdoğan, and Z. İslambay, “Intrauterine Device Localized in the Myometrium”, Kırıkkale Üni Tıp Derg, vol. 19, no. 3, pp. 224–227, 2017, doi: 10.24938/kutfd.327864.
ISNAD Dayangan Sayan, Cemile et al. “Intrauterine Device Localized in the Myometrium”. The Journal of Kırıkkale University Faculty of Medicine 19/3 (December 2017), 224-227. https://doi.org/10.24938/kutfd.327864.
JAMA Dayangan Sayan C, Özkan ZS, Aydın G, Erdoğan F, İslambay Z. Intrauterine Device Localized in the Myometrium. Kırıkkale Üni Tıp Derg. 2017;19:224–227.
MLA Dayangan Sayan, Cemile et al. “Intrauterine Device Localized in the Myometrium”. The Journal of Kırıkkale University Faculty of Medicine, vol. 19, no. 3, 2017, pp. 224-7, doi:10.24938/kutfd.327864.
Vancouver Dayangan Sayan C, Özkan ZS, Aydın G, Erdoğan F, İslambay Z. Intrauterine Device Localized in the Myometrium. Kırıkkale Üni Tıp Derg. 2017;19(3):224-7.

Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.