Retained IUD associated Changes in the uterus with special Reference to incidence of Actinomycosis.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Introduction: Actinomycosis is a rare and insidious disease. The most common etiologic organism is the anaerobic, gram positive bacterium, Actinomyces israelii. It is invasive and spreads by direct extension across the tissue planes with the formation of multiple abscesses. Abdominopelvic actinomycosis is rare but its prevalence has increased with the increasing use of (Intrauterine devices) IUDs. Aims and Objectives: the aim of this study is to find out the association of Actinomycosis infection amongst IUD users. Material and Methods: this retrospective study is based on abdominal hysterectomies operated for Pelvic Inflammatory Disease in a two years period. In Five Hysterectomy specimens out of 100 cases, Copper T (Cu T) was present in situ as an incidental finding in the uterine cavity. Associated Pathology was studied and correlated with the symptoms. Vaginal Cytology smears in 30 IUD users in the active reproductive age group were also screened. Results: In the five cases with Cu T, One case had a full blown findings of Actinomycosis. The infection had spread upto the omentum. In the other cases there were some endometrial changes but no specific infection. In the vaginal cytology smears screened in the IUD users only one case of Actinomycosis related findings (Gupta bodies) were identified . In others there were variable grades of inflammation observed. Discussion and Conclusion: The association of Actinomycosis infection and IUD is well known. Diagnosis of Actinomycosis is difficult as the clinical picture is not specific. IUD users need to be screened regularly by pap smears. Besides other cautions the patients must be clearly instructed to get the device removed in time. This study points out that the negligent retention of IUD can lead to this opportunistic infection and other complications.
Authors and Affiliations
Yudhvir Singh, Anam Khan, Uma Singh
Keywords
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