TRANSMIGRATION OF INTRA-UTERINE DEVICE, EXPLORATORY LAPAROTOMY, RETRIEVAL AND REPAIR OF PERFORATED UTERUS

Eli SF, Olisa E, Abam DS, Enyindah CE

Available online Jul 19, 2018.

[ Report ] Volume 24, Issue 3, 2015, Pages 273-276


Abstract

BACKGROUND:
Perforation of the uterus following transmigration of Intra-uterine devise (IUD) is an uncommon finding of
insertion of IUD.There is associated increased risk of accidental pregnancy,morbidity and mortality.
AIM:
To report a rare clinical condition in which there was uterine perforation following migration of IUD and to
increase awareness of this condition in our environment.
CASE REPORT:
+0 A 37 year old para 6 woman (all alive) who presented with a ten day history of lower abdominal pains following
IUD insertion.
Examination revealed tenderness in the suprapubic region and non-visualization of IUD thread per vaginam.Pelvic
USS showed an empty uterine cavity while an abdominopelvic x-ray following tracer IUD insertion showed the
IUD to be outside the uterine cavity. She had an exploratory laparotomy for retrieval of transmigrated IUD and
repair of perforated uterus.
CONCLUSION:
Transmigrated IUD with uterine perforation is a distressing uncommon clinical condition, and it is reported with
the hope of increasing the awareness and possibly prevent this avoidable uncommon complication.


Keywords

transmigrated IUD, uterine perforation, laparotomy, retrieval.,

July - September 2015

Volume 24 | Issue 3

Page Nos. 273-276

Online since Jul 12, 2018

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