‘Forgotten’ intrauterine device leading to actinomycotic pyometra — 13 years after menopause

Kriplani, Alka; Buckshee, K; Relan, Supriya; Kapila, Kusum

doi:10.1016/0028-2243(94)90122-8

Cited by 16 publications

(8 citation statements)

References 8 publications

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“…Pathogens considered common are Enterobacteriaceae or anaerobes derived from the gastrointestinal tract. Actinomyces has been reported as the causative pathogen; however, in almost all reported cases, an intrauterine device (IUD) was involved [1–4]. I describe a case of panperitonitis caused by Actinomyces -induced pyometra perforation without IUD involvement.…”

Section: Introductionmentioning

confidence: 99%

Pyometra Perforation Caused byActinomyceswithout Intrauterine Device Involvement

Hagiya

2013

Case Reports in Obstetrics and Gynecology

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An 86-year-old woman with diabetes mellitus and severe decubitus at the sacral and calcaneal regions stemming from poor daily activity was diagnosed with pyometra perforation caused by Actinomyces. No foreign materials, including an IUD, were found inside the uterus. Pyometra is usually caused by Enterobacteriaceae or anaerobes derived from the gastrointestinal tract. The virulence of Actinomyces is rather low, and, in almost all the reported cases of Actinomyces-related pyometra, an intrauterine device (IUD) was involved. Although rare, Actinomyces may be ascribed as a virulent pathogen that causes pyometra in the absence of foreign materials.

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Section: Introductionmentioning

confidence: 99%

Pyometra Perforation Caused byActinomyceswithout Intrauterine Device Involvement

Hagiya

2013

Case Reports in Obstetrics and Gynecology

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“…There was no haemorrhage or infection. Actinomyces Israeli infection has been associated with long-standing intrauterine device, 5 but this was absent in the cases. The idea of compelling adolescents to use a particular method as was in case 3 amount to infringing on their reproductive health rights.…”

Section: Discussionmentioning

confidence: 91%

Forgotten Intrauterine Device Contributing to Infertility

Igberase

2011

Clinics and Practice

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The aim of the study is to show that long standing forgotten intrauterine device contributes to infertility, reporting three cases presented at Central Hospital Warri, Nigeria, a government tertiary health center. Three cases of forgotten intrauterine contraceptive device (IUCD) contributing to infertility were seen. Two were inserted for contraceptive reasons while one was inserted while being managed for uterine synechae. Health care providers should ensure proper documentation of all procedures carried out, adequate counseling which should include taking an informed consent and also ensuring both short and long term follow up of their clients. Also all patients being evaluated for infertility and clients with past history of intrauterine device must have a speculum examination and ultrasound scan carried out.

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“…The biggest advantage of Lippes loop was that they never needed to be replaced. Many investigators have already reported on gynecologic symptoms caused by such forgotten IUDs, such as actinomycotic pyometra (5) and dysfunctional uterine bleeding (4).…”

Section: Discussionmentioning

confidence: 99%

The forgotten coil

Marcus

2011

Fertility and Sterility

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‘Forgotten’ intrauterine device leading to actinomycotic pyometra — 13 years after menopause

Cited by 16 publications

References 8 publications

Pyometra Perforation Caused byActinomyceswithout Intrauterine Device Involvement

Pyometra Perforation Caused byActinomyceswithout Intrauterine Device Involvement

Forgotten Intrauterine Device Contributing to Infertility

The forgotten coil

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