Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Novel Use of Three-Dimensional Ultrasonography to Locate a Retained Needle in the Vaginal Wall

Wong, Halei MD; Dwarica, Denicia MD; Quiroz, Lieschen MD

doi: 10.1097/AOG.0000000000003555
Contents: Ultrasonography: Case Report
Buy

BACKGROUND: The occurrence of retained surgical instruments in vaginal surgery, although low, carries unique complications. Appropriate imaging to find retained surgical instruments allows for timely diagnosis and retrieval of the vaginal foreign body.

CASE: The patient is a 33-year-old woman with recurrent cervical cancer who was undergoing radiation therapy. During interstitial implantation, a reverse cutting needle was broken into the anterior vaginal wall. Three-dimensional endoluminal ultrasonography allowed for timely retrieval with minimal surgical exploration in the operating room.

CONCLUSION: Intraoperative three-dimensional endoluminal ultrasonography allows for accurate visualization and mapping of a vaginal foreign body. This highlights an innovative and highly useful feature of this imaging technique.

Endoluminal three-dimensional ultrasonography is a novel approach to identifying and mapping retained surgical instruments after vaginal surgery that may allow timely diagnosis without additional radiation exposure for the patient.

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma, and the Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Missouri School of Medicine, Columbia, Missouri.

Corresponding author: Halei Wong, MD, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Oklahoma Health Science Center, Oklahoma City, OK; email: Halei-Wong@OUHSC.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

Each author has confirmed compliance with the journal's requirements for authorship.

Peer reviews and author correspondence are available at http://links.lww.com/AOG/B598.

© 2019 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.