Incrustation of contraceptive devices: ultrasound as a diagnostic tool
| Autor: | Z. Vígváry, Harkányi Z, Patai K, M. Sipos |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
Radiological and Ultrasound Technology business.industry Contraceptive Devices Increased white blood cell count Ultrasound Obstetrics and Gynecology General Medicine Surgery Weak correlation Reproductive Medicine Long period medicine Primary component Radiology Nuclear Medicine and imaging Abdominal symptoms Ultrasonography business Nuclear medicine |
| Zdroj: | Ultrasound in Obstetrics and Gynecology. 10:74-75 |
| ISSN: | 0960-7692 |
| Popis: | A "strongly attached white rough incrustation" was found on intrauterine devices (IUDs) (especially the Szontagh Copper T 200 and Lippes Loop) removed after several years and associated with abdominal symptoms. A weak correlation (r = 0.42) was found between the proportion of incrustation and the time of use. The primary component of the incrustation was calcium carbonate. Incrustations irritate the endometrium and can lead to infection. The symptoms include lower abdominal pain an elevated sedimentation rate an increased white blood cell count and a raised body temperature. High-resolution ultrasonography was used to compare newly inserted IUDs with IUDs worn for a long period of time or associated with symptoms. The long shanks of the Copper T 200 produced a typical continuous echo of thick parallel lines; when incrusted their surfaces were hyperreflective. Small amounts of incrustation are difficult to demonstrate with a copper IUD because of the hyperreflectivity of the metal. A control device produced a thin parallel linear echo. The linear echos of an incrusted Szontagh IUD appeared uneven with circumscribed areas of hyperreflectivity; the unincrusted device presented only thin linear echoes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text