IUCD related silent uterine perforation

Case contributed by Dr Ali Abougazia


Missed IUCD. The patient couldn't feel the threads. No abdominal or pelvic pain.

Patient Data

Age: 23
Gender: Female
Modality: X-ray

The IUCD is seen within the anterior lower abdominal cavity, anterior to the upper sacrum, above the persumed site of the uterus.

Modality: Ultrasound

The IUCD is not seen within the uterine cavity. A double walled hyperechoic structure is seen 6 cm above the uterus within the anterior lower abdominal cavity, compatible with IUCD. A small amount of pelvic fluid is also seen.

Case Discussion

This is a case of IUCD related uterine perforation, which is a rare but serious complication of an IUCD insertion, and is often silent.

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Case Information

rID: 27792
Case created: 20th Feb 2014
Last edited: 12th Oct 2016
System: Gynaecology
Inclusion in quiz mode: Included

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