E2131. Foreign Bodies in the Female Pelvis: Devices, Gadgets, and More
Authors
Julie An;
University of California - San Diego
Emily Pedrick;
University of California - San Diego
Matthew Carr;
University of California - San Diego
Michael Hahn;
University of California - San Diego
Shira Varon;
University of California - San Diego
Rebecca Rakow-Penner;
University of California - San Diego
Background
Medical and nonmedical devices are sometimes present in the female pelvis and important for radiologists to recognize.
Educational Goals / Teaching Points
Review cases of medical devices commonly found in the female pelvis, with photographic comparison with the nonimplanted device. Explore less-encountered cases of foreign bodies in the female pelvis. Review the relevant clinical aspect of specific gynecologic devices.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
The following devices will be presented in an image-rich presentation on ultrasound, CT, and MRI (when available). Contraception: IUD (well positioned, mispositioned, extruded, retained in uterus during pregnancy), estrogen rings, contraceptive diaphragm, Essure. Menstrual devices: tampon, menstrual cup. Therapeutic/related devices: radiation shield, packing material, brachytherapy devices, uterine hemorrhage balloon, pessary. Iatrogenic misplacement: gas and surgilube in bladder from accidental administration of surgilube into urethra/bladder instead of vagina, applicator tip in vagina accidentally left behind during surgilube administration, malpositioned foley in the vagina. Other foreign bodies not otherwise specified: intentionally placed objects, chronically retained object in the vagina, male to female gender reassignment changes, flip phone in the vagina, shrapnel in the deep pelvis, bladder stone, urethral stone.
Conclusion
This educational presentation provides an up-to-date review on modality-specific imaging appearances of common and uncommon devices which can be present in the female pelvis.
