Difference between revisions of "X-ray of intrauterine devices"
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Anteroposterior view of whole abdomen,<ref>{{cite journal|title=Expulsion of a Spontaneously Broken Arm of a T- Shaped IUD: a Case Report|journal=ARC Journal of Public Health and Community Medicine|volume=3|issue=2|year=2018|issn=24560596|doi=10.20431/2456-0596.0302005}}</ref> preferably standing.<ref name=medscape>{{cite web|url=https://emedicine.medscape.com/article/1997999-technique|author=Sarah Hagood Milton|title=Intrauterine Device Extraction Technique|website=Medscape}} Updated Nov 29, 2018</ref> A lateral view may be taken as well<ref name=medscape/><ref name="BoortzMargolis2012">{{cite journal|last1=Boortz|first1=Hillary E.|last2=Margolis|first2=Daniel J. A.|last3=Ragavendra|first3=Nagesh|last4=Patel|first4=Maitraya K.|last5=Kadell|first5=Barbara M.|title=Migration of Intrauterine Devices: Radiologic Findings and Implications for Patient Care|journal=RadioGraphics|volume=32|issue=2|year=2012|pages=335–352|issn=0271-5333|doi=10.1148/rg.322115068}}</ref> in non-pregnant and relatively older patients. | Anteroposterior view of whole abdomen,<ref>{{cite journal|title=Expulsion of a Spontaneously Broken Arm of a T- Shaped IUD: a Case Report|journal=ARC Journal of Public Health and Community Medicine|volume=3|issue=2|year=2018|issn=24560596|doi=10.20431/2456-0596.0302005}}</ref> preferably standing.<ref name=medscape>{{cite web|url=https://emedicine.medscape.com/article/1997999-technique|author=Sarah Hagood Milton|title=Intrauterine Device Extraction Technique|website=Medscape}} Updated Nov 29, 2018</ref> A lateral view may be taken as well<ref name=medscape/><ref name="BoortzMargolis2012">{{cite journal|last1=Boortz|first1=Hillary E.|last2=Margolis|first2=Daniel J. A.|last3=Ragavendra|first3=Nagesh|last4=Patel|first4=Maitraya K.|last5=Kadell|first5=Barbara M.|title=Migration of Intrauterine Devices: Radiologic Findings and Implications for Patient Care|journal=RadioGraphics|volume=32|issue=2|year=2012|pages=335–352|issn=0271-5333|doi=10.1148/rg.322115068}}</ref> in non-pregnant and relatively older patients. | ||
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+ | ==Evaluation== | ||
+ | [[File:X-ray of abdomen with perforated IUD.jpg|thumb|IUD with copper, located to the left in the pelvic cavity, indicating perforation.]] | ||
+ | Note the presence or absence of an IUD. When present, note the location of the IUD. | ||
{{Bottom}} | {{Bottom}} |
Revision as of 12:36, 2 July 2019
Author:
Mikael Häggström [notes 1]
Contents
Planning
Indications
For intrauterine devices (IUDs), indications for imaging are mainly suspected perforation or expulsion, such as painful insertion and missing strings on vaginal examination.
Choice of modality
- Transvaginal ultrasonography is generally the initial investigation of choice.[1]
- Projectional radiography ("X-ray") of intrauterine devices can detect the absence versus presence of an intrauterine device, which is useful when an IUD is not found on vaginal examination and ultrasonography.[1]
- Low dose CT is indicated when specific anatomic location of the IUD is needed.
- Normal dose CT is indicated in suspected complications such as perforation of nearby organs and/or abscess formation.[1]
- MRI is rarely indicated, but can visualize an IUD with both 1.5-T and 3.0-T magnets.[1]
Settings
Anteroposterior view of whole abdomen,[2] preferably standing.[3] A lateral view may be taken as well[3][1] in non-pregnant and relatively older patients.
Evaluation
Note the presence or absence of an IUD. When present, note the location of the IUD.
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
References
- ↑ 1.0 1.1 1.2 1.3 1.4 Boortz, Hillary E.; Margolis, Daniel J. A.; Ragavendra, Nagesh; Patel, Maitraya K.; Kadell, Barbara M. (2012). "Migration of Intrauterine Devices: Radiologic Findings and Implications for Patient Care ". RadioGraphics 32 (2): 335–352. doi: . ISSN 0271-5333.
- ↑ "Expulsion of a Spontaneously Broken Arm of a T- Shaped IUD: a Case Report ". ARC Journal of Public Health and Community Medicine 3 (2). 2018. doi: . ISSN 24560596.
- ↑ 3.0 3.1 Sarah Hagood Milton. Intrauterine Device Extraction Technique. Medscape. Updated Nov 29, 2018