T19.3

Clinical Causes: Medical procedures such as intrauterine device insertion or removal Accidental insertion of foreign objects (e.g., during childbirth or procedures) Retention of fragments following miscarriage or abortion Uterine foreign bodies from retained surgical materials Unintentional insertion of objects by patients or others

Key Symptoms: Pelvic pain or discomfort Abnormal uterine bleeding Unusual vaginal discharge, possibly foul-smelling Pelvic or lower abdominal tenderness Feeling of pressure or fullness in the pelvis Signs of infection such as fever or chills in some cases

Diagnosis Path: Diagnosing a foreign body in the uterus involves a combination of clinical evaluation and diagnostic tests. Healthcare providers typically conduct a physical examination and may use imaging techniques like pelvic ultrasound or X-ray to locate the object. Sometimes, hysteroscopy—a procedure involving a thin, lighted tube inserted into the uterus—is employed for direct visualization and removal of the foreign body. Laboratory tests might also be performed to detect signs of infection or inflammation.

Treatment Protocols: Treatment generally involves removing the foreign body, which is often performed through a minimally invasive procedure called hysteroscopy. This method allows physicians to locate and extract the object without the need for open surgery. Post-removal care may include antibiotics if there's an infection, pain management, and follow-up evaluations to ensure complete recovery. In some cases, additional procedures may be necessary if there are complications or damage to the uterine lining.