IUCD related uterine perforation

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Missing IUCD string.

Patient Data

Age: 35 years
Gender: Female

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

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.