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Bulletin of Alexandria Faculty of Medicine. 2004; 40 (2): 111-117
in English | IMEMR | ID: emr-65485

ABSTRACT

To define the role of computed tomography [CT] in localization of the perforated uterine devices [UDs]. The study included 30 patients referred to the diagnostic imaging department for localization of missed UDs that were proved to be present in the body by plain X-ray, Ultrasonography showed improper location of UDs. Each patient was subjected to non-contrast axial CT examination according to the site of the device that was seen in the topogram of abdomen and pelvis. CT determined the site of perforated UDs with sensitivity 100%. There were five devices partially perforating the uterus. Three of them were partly in the uterine cavity, myometrium and peritoneal cavity. Two of them were partly in myometrium and peritoneal cavity. One patient had two perforating devices at the same time rendering the number of missed devices 31. The remaining 26 devices were completely perforating the uterus with only one of them perforated the colon. CT localization of perforated contraceptive devices is mandatory before surgical extraction. It can determine the type of perforation whether partial or complete. It can detect associated adhesions or visceral involvement


Subject(s)
Humans , Female , Uterine Perforation/diagnosis , Tomography, X-Ray Computed , Sensitivity and Specificity
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