Peritoneal Carcinomatosis with Displaced IUCD
Bibliographic record
Abstract
Abstract: Intrauterine contraceptive device (IUCD) has been widely used as a safe, economic, effective and reversible method of contraception. IUCDs are generally well accepted with good compliance but complications sometime occur. Uterine perforation is a rare complication with an incidence of one in 1000 procedures. Whether a displaced IUCD in the peritoneum can lead to carcinogenesis is a matter of debate. We report a case of peritoneal carcinomatosis with displaced Lippes loop. A 70 year female with ascites who was diagnosed as peritoneal carcinomatosis and administered two cycle of chemotherapy presented to this institution for further management. She was evaluated, administered four more cycles of chemotherapy and taken for exploratory laparotomy. At laparotomy a Lippes loop was found adherent to the colon and omentum. Total abdominal hysterectomy, bilateral salpingo-oopherectomy, total omentectomy and transverse colon resection with end to end anastomosis was done. Post operative histopathology showed adenocarcinoma in colon and omentum located around the loop. Uterus, ovaries and rest of the bowel were free of disease. She received two more cycles of chemotherapy after operation. She has completed follow up of 6 weeks after completion of treatment with clinically no evidence of disease.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".