IUCD related uterine perforation

Case contributed by Dr Dalia Ibrahim

Presentation

Missing IUCD string.

Patient Data

Age: 33-year-old
Gender: Female

The IUD arms completely perforated the myometrium & serosa of the uteirne anterior midbody while its stem is still embedded within its myometrium. No intra-abdominal complications detected.

 

Case Discussion

IUD perforation is ranging from embedment in the myometrium to complete transuterine perforation with migration of the IUD into the peritoneal cavity.

Embedment: refers to IUD penetration into the endometrium or myometrium without extension through the serosa.

Intraabdominal Migration occurs when the IUD is freely floating in the abdomen or pelvis, encased in adhesions, or adherent to bowel or omentum. Adhesions can lead to infertility, chronic pain, and intestinal obstruction.

 

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Case information

rID: 46523
Case created: 6th Jul 2016
Last edited: 1st Oct 2016
System: Gynaecology
Inclusion in quiz mode: Included

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