Case Obsos Selly
Case Obsos Selly
IUD DISLOCATION
Presented by :
dr. Selly Rizany
Moderator :
Dr. H. Firmansyah Basir, SpOG(K)-Obginsos, MARS
DEPARTMENT OF OBSTETRIC AND GYNECOLOGY
FACULTY OF MEDICINE SRIWIJAYA UNIVERSITY
Dr. MOH. HOESIN GENERAL HOSPITAL PALEMBANG
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MEDICAL RECORD
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ANAMNESIS
Identification
Name : Ny. REN
Med.Rec : 1199933
Age : 38 years old
Ethnicity : Palembang
Education : Bachelor
Religion : Islam
Occupasion : Police officer
Adress : Seberang Ulu I, Palembang
Admission : March 17th 2021
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Marital Status
1x, 12 year
Other History
History of IUD insertion 5 years ago
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ANAMNESIS
Chief complaint:
Abdominal pain
History of disease :
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General Status
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Specific Examination
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Gynecological Examination
Abdomen :
Flat abdomen, cesarean scar (+), supple, tenderness (+) in right
iliac region, free fluid sign (-)
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Supporting Examination: US Gynecology
Conclusion :
There was IUD dislocation (located in right
posterior corpus of uterine) 9
Working Diagnosis
IUD Dislocation
Prognosis
Dubia ad bonam
Management
Histeroscopy Diagnostic
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Histeroscopy Result
Conclusion :
There was IUD dislocation (located in right
posterior corpus of uterine) 11
2
PROBLEMS
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How is the diagnosis made in this patient?
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How is the diagnosis made in this patient?
Anamnesis :
history of previous
IUD insertion and USG
persisten abdominal
pain
Histeroscopy : as
diagnostic and X-Ray, CT-Scan
therapeutic tools
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Causes
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What is the cause of IUD dislocation in this patient?
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Is the management of this patient correct?
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To avoid complications of IUD use, it is recommended to
control to healthcare professionals if there are any
complaints soon after post insertion. Type of IUD and
uterine position in this patient must be accessed to find the
causes of this case. The dislocated IUD must be removed
when it comes with a symptom.
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THANKYOU!
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