This video shows a Foreign Body in Uterus.
Village quacks introduce various foreign bodies into the uterine cavity for the purpose of criminal or illegal abortions and treatment.
Foreign objects in the uterus are commonly encountered in all age groups. Usually presenting as offensive vaginal discharge and pain abdomen. Misplacement of these foreign bodies may cause dangerous complications.
We defined “retained IUDs” to refer to cases when the IUD was confirmed to be in the uterine cavity by ultrasound, and the attempts to remove the IUD in an office setting without ultrasound failed.
A gossypiboma, also called textiloma or cottonoid, refers to a foreign object, such as a mass of cotton matrix or a sponge, that is left behind in a body.
Foreign objects in the genital tract may be placed accidentally or iatrogenic. Most of the foreign bodies recovered from the vagina include tampons, pins, buttons, seeds, toy parts, objects used in foreplay, and pessaries forgotten in the vagina or even illicit drugs for trafficking and sometimes sticks used for abortion and misplaced contraceptive devices. Moreover, fetal bones, the tip of a curette, Laminaria tent, non-absorbable suture material, and Lippes loop have been reported.
Retained objects in the vagina and uterus cause infection and purulent discharge. The persistence of the foreign body causes granulation tissue formation eventually leading to adhesions and fibrosis.
Foreign objects in the genital tract are a common occurrence and if long duration may result in vaginal discharge or even lead to life-threatening complications. A proper history and clinical examination and diagnosis can help in time management and avoidance of life-threatening complications. Patients with intrauterine contraceptives should be advised to come for regular follow-up.
Ultrasound imaging may be used to detect foreign bodies, evaluate the surrounding area and potentially guide removal of the object.
Visualization of the foreign body using a speculum and removal with forceps may be the most efficient treatment. Unusual objects or those that may disrupt the vaginal wall may require sedation or anesthesia for removal, and to complete a thorough exam of the vagina and cervix.
If your IUD is stuck in your uterus, your doctor may have to dilate your cervix and use forceps to remove your IUD. 1 If this happens during your IUD removal, it is very likely that your doctor will give you a local anesthetic to help reduce any pain or discomfort.
IUDs prevent pregnancy by releasing either copper or synthetic hormones into the female reproductive tract. Once in place, these devices prevent pregnancy for between 3 and 10 years.