Uterine perforation by IUCD

Case contributed by Bruno Lorensini
Diagnosis certain

Presentation

Mild abdominal pain. Vaginal bleeding a few days ago.

Patient Data

Age: 40 years
Gender: Female
x-ray

The IUD is seen on the left flank, well above the expected location of the uterus. 

Case Discussion

The IUCD was not seen within the uterine cavity on transvaginal ultrasound (not shown). This is a case of a rare and serious complication related to IUCD insertion, in this case with few symptoms.

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