IUCD related uterine perforation

Case contributed by Wouter Kroon


Right-sided flank pain. In view of history of renal calculi, an unenhanced CT scan was performed.

Patient Data

Age: 55 years
Gender: Female

Unenhanced CT

Unenhanced abdominal CT shows an intrauterine device, which has migrated from the lumen of the uterus through the uterine wall and part of the device is now intra-abdominally located. No signs of fat infiltration, free fluid or air in the abdomen. So, no signs of further complications.

Case Discussion

Uterine perforation is a serious complication. It occurs in roughly 1/1000 cases. There are not many risk factors documented, but lactating and having had a baby within 6 months prior to placement are risk factors. The degree of malpositioning of an intrauterine device can range from embedment in the myometrium to complete perforation1.

Malpositioning of the IUD can be assessed by ultrasound, but CT can be used to exclude other causes, to evaluate the precise location and to assess possible complications that have occurred.

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Case information

rID: 29564
Published: 5th Jun 2014
Last edited: 9th Jul 2019
System: Gynaecology
Inclusion in quiz mode: Included

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