We present a case of an unusual complication of intrauterine device (IUD). Uterine perforations are among the most serious complications associated with the insertion of an intrauterine device. In this case, the perforation involved the cervical wall and it was asymptomatic for a period of unknown time. Inadequate pelvic examination before insertion and inexperience of the inserting person might be predisposing factors for uterine perforation. We suggest that the patient should be counseled on self-maintenance and checking for the threads one month after insertion and regularly thereafter.
1. Ozgun MT, Batukan C, Serin IS, et al. Surgical
management of intra-abdominal mislocated
intrauterine devices. Contraception 2007; 75: 96-
100.
2. Velazquez Velasco JR, Vilchis Nava P, Nevarez
Bernal RA, et al. Uterine and jejunum perforation
due to intrauterine device. A report of a case and
literature review. Gynecol Obstet Mex 2006; 74:
435-438.
3. Medina TM, Hill DA, Dejesus S, et al. IUD
removal with colonoscopy: a case report. J Reprod
Med 2007; 50: 547-549.
4. Bowen-Simpkins P. Missing IUD fragment. J
Fam Plann Reprod Health Care 2004; 30: 276.
5. Chen CP and Hsu TC. Ileal penetration by
a Multiload-Cu 375 intrauterine contraceptive
device. A case report with review of the literature.
Contraception 1998; 58: 295-304.
6. Stuckey A, Dutreil P, Aspuru E, et al. Symptomatic
cecal perforation by an intrauterine device with
appendectomy removal. Obstetric Gynecology
2005; 105:1239-1241.
Rahim içi Araç ile ilgili Nadir Görülen Bir Komplikasyon
Year 2018,
Volume: 1 Issue: 3, 45 - 47, 30.11.2018
Rahim içi araç,3 ile ilgili nadir görülen bir komplikasyonu sunduk. Rahim içi araç ile ilgili en ciddi komplikasyon, uterin perforasyondur. Bu vakada perforasyon servikal kanal duvarına doğru olmuş ve ne zaman olduğu bilinmemektedir. Yetersiz pelvik muayene ve işlemi uygulayan kişinin yeterince deneyimli olmaması perforasyon oluşma riskini arttırmaktadır. Bizce en önemli şey, kadının rahim içi aracı uyguladıktan sonra düzenli aralıklarla kendi kendine muayene ile aracı belli aralıklarla kontrol etmesidir.
1. Ozgun MT, Batukan C, Serin IS, et al. Surgical
management of intra-abdominal mislocated
intrauterine devices. Contraception 2007; 75: 96-
100.
2. Velazquez Velasco JR, Vilchis Nava P, Nevarez
Bernal RA, et al. Uterine and jejunum perforation
due to intrauterine device. A report of a case and
literature review. Gynecol Obstet Mex 2006; 74:
435-438.
3. Medina TM, Hill DA, Dejesus S, et al. IUD
removal with colonoscopy: a case report. J Reprod
Med 2007; 50: 547-549.
4. Bowen-Simpkins P. Missing IUD fragment. J
Fam Plann Reprod Health Care 2004; 30: 276.
5. Chen CP and Hsu TC. Ileal penetration by
a Multiload-Cu 375 intrauterine contraceptive
device. A case report with review of the literature.
Contraception 1998; 58: 295-304.
6. Stuckey A, Dutreil P, Aspuru E, et al. Symptomatic
cecal perforation by an intrauterine device with
appendectomy removal. Obstetric Gynecology
2005; 105:1239-1241.