{
  "abstract": "This case report encompasses a 35-year-old lady who had been experiencing secondary subfertility for more than a decade before being discovered to have a long-retained intrauterine metallic object. Her first pregnancy, shortly following marriage, ended in a stillbirth at six months, followed by manual placental removal by an untrained provider. She later developed prolonged and irregular menstrual bleeding, along with dysmenorrhea, but no dyspareunia or postcoital bleeding. Imaging detected a metallic foreign body implanted in the myometrium and expanding into adjacent tissues, initially misdiagnosed by the basic health unit as a misplaced intrauterine device. Hysteroscopic removal was unsuccessful due to obstruction at the cervical os. The foreign body was most likely a dilator left behind from the manual process.",
  "abstract_shown": true,
  "affiliations": [
    "Liaquat National Hospital, Karachi."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Palwasha Hashim"
    },
    {
      "affs": [
        0
      ],
      "name": "Kaniz Zehra Naqvi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bft8jpsy877as.bib",
  "cited_by": 0,
  "doi": "10.36283/ziun-pjmd15-4/024",
  "fulltext_url": "https://ojs.zu.edu.pk/pjmd/article/view/4692",
  "id": "bft8jpsy877as",
  "issns": [
    "2313-7371",
    "2308-2593"
  ],
  "landing_url": "https://doi.org/10.36283/ziun-pjmd15-4/024",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "QD415-436"
    ],
    [
      "lcc",
      "R5-920"
    ],
    [
      "lcc",
      "RK1-715"
    ],
    [
      "lcc",
      "RM1-950"
    ]
  ],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "ziauddin University",
  "ris": "https://research.draconitic.com/paper/bft8jpsy877as.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T14:20:56Z",
      "native_id": "0f89f439dec34208bd2a9011edd969f1",
      "source": "doaj",
      "url": "https://doi.org/10.36283/ziun-pjmd15-4/024"
    }
  ],
  "subjects": [
    {
      "field": "biochemistry",
      "origin": "lcc:QD415-436",
      "subfield": "general"
    },
    {
      "field": "medicine",
      "origin": "lcc:RM1-950",
      "subfield": "pharmacology-toxicology"
    }
  ],
  "title": "A Study on Secondary Subfertility Caused by a Retained Intrauterine Foreign Body: Unveiling a Decade-Long Clinical Enigma.",
  "title_text": "A Study on Secondary Subfertility Caused by a Retained Intrauterine Foreign Body: Unveiling a Decade-Long Clinical Enigma.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-04T14:20:56Z",
  "url": "https://research.draconitic.com/paper/bft8jpsy877as",
  "venue": "Pakistan Journal of Medicine and Dentistry",
  "versions": []
}