These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Nursing care study. Gynaecology: piercing pains.
    Author: Hawkes E.
    Journal: Nurs Mirror; 1981 Apr 02; 152(14):41. PubMed ID: 6908020.
    Abstract:
    A case history is reported of the traumatic experience of a woman hospitalized in order to remove her IUD. Sue, the 29-year-old patient who had 2 children (5-1/2 years and 1-1/2 years) had been referred to a gynecological clinic by her general practitioner for IUD removal. 6 weeks prior to her referral she had experienced 2 days of very severe pain and occasional pains since then--sharp, cramping pains that did not radiate and eased off following micturition. The pains were not related to bowels or intercourse. Attempts to remove the copper 7 IUD by the general practitioner and the family planning clinic failed. This was the case even though the strings were visible. Following routine preparation at the day surgery unit, Sue was given a general anesthetic. On examination the pelvic organs were all found to be normal and the strings of the copper 7 IUD were visible. Attempts to remove it with sponge-holding forceps and a curette were interrupted by a sudden vaginal blood loss. The laparoscope was introduced and a large hematoma of the right broad ligament was visible. Laparotomy through a lower midline incision was performed, and it was found that the IUD had perforated the right wall of the uterus. The right uterine vessels had been damaged when the removal was attempted. The hematoma was evacuated after ligation of the blood vessels and a right salpingo-oophorectomy was performed. The left tube and ovary had a normal appearance and were preserved. Hemostasis was secured and the abdomen was closed in layers as usual. A blood loss of about 2 liters was estimated. Sue was hospitalized for 3 weeks.
    [Abstract] [Full Text] [Related] [New Search]