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Importance of abdominal X-ray to confirm the position of levonorgestrel-releasing intrauterine system:A case report

World Journal of Clinical Cases 2022年第15期10卷 4904-4910页

作者： Aki Maebayashi Kanoko Kato Nobuki Hayashi Masaji Nagaishi Kei Kawana Obstetrics and Gynecology Nihon University HospitalTokyo 1018309Japan Obstetrics and Gynecology Nihon University School of MedicineTokyo 1738610Japan

BACKGROUND Levonorgestrel-releasing intrauterine systems(LNG-IUSs)gradually release levonorgestrel into the uterus and is effective against hypermenorrhoea and *** associated with the insertion include expulsion,displacement,and uterine *** identification of copper intrauterine devices(IUDs)is possible due to echogenicity from the copper ***,the barium sulfate coatings of LNG-IUSs do not always provide hyperechoic *** barium sulfate and copper are radiopaque and clearly identifiable on ***,X-ray imaging is required to locate *** SUMMARY A 46-year-old woman with hypermenorrhoea due to submucosal myomas was treated with LNG-IUS at another *** LNG-IUS insertions had apparently been followed by spontaneous expulsion,although objective confirmation using imaging was not *** patient was referred to our institution for *** the first visit,there appeared to be no device in the uterus,and none was observed on transvaginal ***,two LNGIUSs were observed in the pelvis on abdominal plain X-rays prior to *** myomectomy was performed,and the two LNG-IUSs were found to have perforated the *** devices were safely removed during surgery,and the submucosal myomas were also *** perforated section of the myometrium was minimal+ADs-therefore,a repair operation was not *** Plain abdominal X-rays facilitate the determination of whether an LNG-IUS is in the uterine ***,it is important to confirm a device’s location,regardless of whether spontaneous expulsion is suspected,prior to inserting another device.

关键词： hysteroscope Intrauterine devices Levonorgestrel-releasing intrauterine system Submucosal myoma Uterine perforation Case report

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Clinical Analysis of 16 Cases with Duplex Uterus

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Journal of Reproduction and Contraception 2011年第4期22卷 217-221页

作者： Ya-ling FENG Xiao-qin LIANG Xiao-mao LI Department of Obstetrics and Gynecology Shenzhen Baoan People＇s Hospital Shenzhen 518101 China Department of Gynecology and Obstetrics The Third Affilitated Hospital SUN Yat-sen University Guangzhou 510630 China

Objective To explore the diagnosis and treatment of duplex uterus. Methods Totally 16 cases with duplex uterus were diagnosed and treated with hysteroscopy and laparoscopic technology simultaneously. Results Sixteen cases were finally diagnosed with hysteroscopy and B-ultrasound examination. Of the 16 cases, 12 cases underwent vaginal septum resection and hysteroscopic transcervical resection of septum （TCRS）, 2 cases underwent lysis of pelvic adhesions, vaginal septum resection and hysteroscopic transcervical resection of septum, and 2 unmarried cases underwent hysteroscopy in women with intact-hymen. All the 16 cases underwent the surgery successfully. Conclusion Hysteroscopy in combination with B-ultrasound examination is a major option for duplex uterus diagnosis, and hysteroscopic transcervical resection of septum and vaginal septum resection under B-ultrasound monitoring is the primary surgery treatment alternative for duplex uterus.

关键词： hysteroscope duplex uterus double cervix complete septate uterus

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