Subject(s)
Obstetric Labor Complications/etiology , Pregnancy Complications/etiology , Urogenital Abnormalities , Abnormalities, Multiple/diagnosis , Abnormalities, Multiple/pathology , Adult , Colic/diagnosis , Female , Humans , Kidney Diseases/diagnosis , Obstetric Labor Complications/pathology , Pregnancy , Pregnancy Complications/pathology , SyndromeABSTRACT
PIP: Since the literature contains no data on the possible migration of an IUD from the uterus into the fallopian tube, the authors describe 2 cases among 3 they encountered of such complications with the use of the IUD for contraception. A patient of age 40 gave birth to 1 child and had 2 voluntary abortions. On stet 9-3-82, a Nova T IUD was implanted. In April 1983, however, pregnancy was diagnosed. Roentgenography and hysterosalpingography made it possible to locate the IUD in the parametrium. A laparotomy performed on 8-11-83 confirmed the primary diagnosis and showed that the IUD had migrated as a result of perforation of the uterus. The postoperative period was uneventful. On 6-7-84, a 26 year old patient was admitted to the clinic with the diagnosis corpus alienum in abdominis--IUD. The case history indicated that a Copper T IUD had been implanted on 2-3-84. In April 1984, pregnancy was diagnosed. Using roentgenography, the IUD was located in the right fallopian tube. On 6-12-84, a laparotomy was performed to extract the coil from the fallopian tube. In situ observations confirmed the results of the roentgenographic diagnosis and showed that the IUD had migrated into the fallopian tube without perforation of the uterus. Extraction of the device and adnexectomy were performed. Histological data indicated ovarian endometriosis, and the tube had a small parovarian cyst. The postoperative recovery was uneventful. Although such complications are rare, the authors suggest that the risks of device migration should be taken into consideration in clinical practice where contraception with the IUD is utilized.^ieng
Subject(s)
Intrauterine Devices/adverse effects , Adult , Female , Foreign-Body Migration/epidemiology , Humans , Intrauterine Devices, Copper/adverse effects , Ovary , Uterine Perforation/etiology , Uterine Perforation/pathologySubject(s)
Heart Valve Prosthesis , Obstetric Labor Complications/physiopathology , Pregnancy Complications/physiopathology , Puerperal Disorders/physiopathology , Adult , Anticoagulants/therapeutic use , Aortic Valve , Female , Humans , Mitral Valve , Obstetric Labor Complications/etiology , Pregnancy , Pregnancy Complications/etiology , Puerperal Disorders/etiology , Tricuspid ValveSubject(s)
Heart Valve Diseases/diagnosis , Obstetric Labor Complications/diagnosis , Pregnancy Complications, Cardiovascular/diagnosis , Puerperal Disorders/diagnosis , Adult , Female , Heart Valve Diseases/physiopathology , Heart Valve Diseases/surgery , Humans , Mitral Valve Stenosis/diagnosis , Obstetric Labor Complications/physiopathology , Pregnancy , Pregnancy Complications, Cardiovascular/physiopathology , Pregnancy Complications, Cardiovascular/surgery , Puerperal Disorders/physiopathology , Rheumatic Heart Disease/diagnosisABSTRACT
PIP: The authors describe both their own as well as foreign experiences with contraception in women with heart disease. Oral contraceptive preparations and IUDs both have unfavorable results and effects; IUDs are especially dangerous due to the inflammatory processes and consequently, antibiotic protection is necessary after insertion into the uterine cavity. The authors recommend the use of mechanical contraceptives since they indicate that women with heart disease should be placed under dispensary care. (Authors' modified)^ieng
