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GU: Female Pelvis/Endocrine

E2633. Foreign Bodies in the Female Reproductive Tract: It’s Not What You Think

Czerniak S,  Hao J,  Israel G. Yale New Haven Hospital, New Haven, United States

Address correspondence to S. Czerniak (sczerniak@gmail.com)

Background Information: Most imaged foreign bodies of the female reproductive tract are intentionally placed, either by a medical professional or the patient herself. In many cases, these are reported as incidental findings, but occasionally studies are ordered specifically to locate wayward devices or assess for complications related to them. This requires radiologists to be able to correctly identify a wide range of foreign bodies, recognize their expected location, and assess for any associated complications. The purpose of this educational exhibit is to familiarize the reader with a variety of foreign bodies and their usual positions in the female reproductive tract as well as complications that may occur.

Educational Goals/Teaching Points: In this exhibit, we review the appearance of frequently encountered foreign bodies across multiple imaging modalities, explain their purpose and expected location, and review common complications related to each. Educational goals include exposing radiologists to the diverse imaging appearances of common foreign bodies of the external genitalia, vagina, uterus, and Fallopian tubes, and reviewing associated complications.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques: This exhibit will focus on foreign bodies of the female reproductive tract, including external genital piercings, foreign bodies of the vagina (tampon, menstrual cup, pessary, and contraceptive devices such as vaginal rings and cervical caps), intra uterine contraceptive devices, and internal and external tubal closure devices. The appearance of these foreign bodies on imaging modalities including radiography, CT, MRI, and ultrasound will be included. Complications including migration, perforation, and infection will be reviewed.

Conclusion: Foreign bodies of the female reproductive tract are ubiquitous and should be readily recognized by radiologists. Comprehensive evaluation includes assessment for correct location and device-related complications.