Case 100: Migrated Intrauterine Contraceptive Device || Ultrasound

    

Clinical Features:

A 22-year-old female patient with

- H/o using intrauterine contraceptive device & perforation.

- H/o hysterectomy due to ruptured uterus during pregnancy.

Ultrasound Features:

A ‘T’-shaped hyperechoic foreign body surrounded by anechoic localized collection is noted at the right iliac fossa.

Remember:

3D/4D ultrasound may help visualize the IUCD location (especially with serpiginous IUCDs).

Ultrasound Diagnosis:

Migrated Intrauterine Contraceptive Device at the right iliac fossa.

Ultrasound Images:

Echogenic linear IUCD on long section at RIF with surrounding localized collection

Echogenic linear IUCD on trans section at RIF with surrounding the localized collection

Echogenic linear IUCD on long section at RIF with surrounding localized collection

Echogenic linear IUCD on long & trans sections at RIF with surrounding localized collection

On color Doppler, no surrounding abnormal vascularity

3D Ultrasound of the IUCD on different modes

YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link

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Case 07: Retroperitoneal Hematoma Ultrasound

Introduction:

Retroperitoneal Hematoma may be found in patients with abdominal trauma.

Clinical Features:

Middle aged patient came with the history of
1. Blunt abdominal trauma due to industrial injury few days back.
2. Right hypochondriac swelling.

Clinically, the patient was stable, no sign of shock.

Ultrasound Findings:

1. A localized retroperitoneal hazy collection with internal different level of echogenicity, is noted at the right hypocondriac region, extending up to the right lumber region.
2. The collection is not communicated with liver, right kidney, pancreas or aorta.
3. No other definite organic abnormality.
4. No pelvic collection is noted.

Images:

3D Image:

Features Suggestive Of:

Retroperitoneal Hematoma.

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