Migration of an ingested fishbone to the uterine wall: A case report

Abstract

This paper reports the first case of the removal of an ingested fishbone from the uterus. A 77‐year‐old woman presented with a 3‐day history of lower abdominal pain. An abscess‐like lesion in the posterior wall of the uterus was revealed by transvaginal ultrasonography and pelvic magnetic resonance imaging. Moreover, a curvilinear calcium density in the anterior uterine wall was revealed by abdominal computed tomography. A recto‐sigmoidal perforation and uterine abscess were suspected. Thus, hysteroscopic drainage of the abscess was performed. Hysteroscopy revealed a fishbone partially embedded in the myometrium. Its removal resulted in full recovery. This study believed that adhesions between the uterus and rectosigmoid colon after partial gastrectomy for gastric cancer may have limited abdominal symptoms by limiting the leakage of intestinal fluids. Although rare, it should be considered that migration of a fishbone into the uterus could occur.

Use of Hysteroscopic Morcellation With a Myosure® Device for Removal of Uterine Foreign Material in an Orangutan (Pongo Sp.)

“…Hysteroscopy is a minimally invasive technique used by obstetrician-gynecologists to remove polyps, fibroids, retained products of conception, and uncommonly, foreign bodies in women. 3,4,9 Benefits of hysteroscopy over traditional curettage with cervical dilation to remove uterine foreign material include visualization of abnormal areas and reduced risk of uterine perforation. 1 In particular, the MyoSure tissue removal device is a hysteroscopic morcellator that is inserted into the uterus through a metal sheath and uses a protected oscillating blade to cut through intrauterine pathology such as polyps.…”