IUCD related uterine perforation -silent

Case contributed by Dr Maulik S Patel

Presentation

H/o fall on ground - 3 days. C/o backache.

Patient Data

Age: about 45 yrs
Gender: Female
Modality: X-ray

No compression fracture.

An 'intra-uterine' device is seen abutting left anterior abdominal wall with horizontal orientation.

Ultrasound was done to localized IUD.

Modality: Ultrasound

A linear structure ( with two parellar lines and bifercation  ) is noted in left lower abdomen.

It is just deep to left rectus and lateral to inferior epigastric vessels. It is surrounded by fat.

It moves with respiration.

 

Uterine cavity is empty.

Case Discussion

According to Patient, IUCD dislodged about 21 years ( correct years.. ) back. Two time ultrasound was done and uterine cavity was empty. It was presumed to be outside body. No  radiograph was taken.

Findings suggest an intraperitoneal IUCD with silent uterine perforation.

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Case Information

rID: 29330
Case created: 16th May 2014
Last edited: 27th Jan 2016
System: Gynaecology
Inclusion in quiz mode: Included

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