Go back
Title: THINGS OUT OF PLACE : UNUSUAL CASE OF FOREIGN BODY IN UTERO
e-poster Number: EP 076
Category: Endoscopy and Gynaecologic Surgery
Author Name: Dr. Jhalak Agrawal
Institute: Motherhood hospital indore
Co-Author Name:
Abstract :
INTRODUCTION : Foreign objects in the genital tract may be placed accidentally or iatrogenic. Commonly foreign bodies retrieved from the vagina include tampons, pins, buttons, seeds, toy parts, and pessaries forgotten in the vagina or even illicit drugs for trafficking and sometimes sticks used for abortion and misplaced contraceptive device. Inside the uterus, fetal bones, tip of curette, Laminaria tent, non-absorbable suture material, CuT, and Lippes loop have been reported. CASE HISTORY : A 39 yrs female presented to us with complaints of secondary infertility. She had history of previous 3 Lscs with 2 live issues and history of hydros fetalis in 2nd pregnancy with history of Recanalization 1 year back. She was planned for an ovulation induction followed by ovum pickup along with hysteroscopy. On serial scans, an echogenicity was seen near the fundus. INTRAOPERATIVE FINDING : Ovum pick up was done followed by hysteroscopy with Endometrial biopsy. On hysteroscopy , a guide wire was seen in the enodmetrial cavity which must have been used in Recanalization . FINAL DIAGNOSIS : Foreign body in utero. DISCUSSION :Foreign objects in the genital tract are commonly reported in all age groups. From vagina of young girls who may insert these while exploring their body. Often these include pen caps, toys, and toilet paper. Vaginal foreign bodies reported in cases of sexual abuse.Therefore, one should always exclude the possibility of abuse in such cases. Among adults, commonly recovered foreign objects from the genital tract include pessaries, contraceptive devices, tampons, seeds, surgical instruments (often forgotten), and sexual aids retained inadvertently. Retained objects in the vagina and uterus cause infection and purulent malodorous discharge. Persistence of the foreign body causes granulation tissue formation eventually leading to adhesions, fibrosis. Diagnosis is based on detailed history, clinical and gynaecological examination aided by ultrasound examination, X ray and other radiological assessment. CONCLUSION :Foreign objects in the genital tract may result in vaginal discharge or even lead to life-threatening complications. A proper history and clinical examination and diagnosis can help in time management and avoidance of complications.