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Computed Tomography01:10

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Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
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The confirmation bias is the tendency to focus on information that confirms our existing beliefs and ignore information that is inconsistent with our expectations. For example, if you think that your professor is not very nice, you notice all of the instances of rude behavior exhibited by the professor while ignoring the countless pleasant interactions he is involved in on a daily basis. Have you ever fallen prey to the confirmation bias, either as the source or target of such bias?
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The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
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Uterine Body Stuffing Confirmed by Computed Tomography.

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A woman presented with suspected vaginal cocaine foreign body. Computed tomography (CT) effectively detected a radiopaque mass in the cervix and uterus, highlighting CT

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Area of Science:

  • Emergency Medicine
  • Radiology
  • Toxicology

Background:

  • Vaginal foreign bodies, particularly those involving illicit substances, present unique diagnostic challenges.
  • Prompt and accurate identification is crucial for patient management and preventing complications.

Observation:

  • A 31-year-old woman presented with suspected vaginal cocaine "stuffing."
  • Initial physical and pelvic exams were unremarkable, but vital signs showed agitation, tachycardia, and hypertension.
  • Abdominal radiography suggested a foreign body, while transabdominal ultrasound was inconclusive.

Findings:

  • Noncontrast computed tomography (CT) of the abdomen and pelvis revealed a radiopaque mass within the cervix extending into the uterus.
  • Gynecology consultation was obtained, but the patient left against medical advice before removal.

Implications:

  • This case underscores the limitations of radiography in detecting introvaginal foreign bodies.
  • Computed tomography (CT) demonstrates superior sensitivity and specificity for evaluating suspected vaginal foreign body insertion.
  • CT should be considered a valuable tool in diagnosing rare cases of introvaginal substance concealment.