Korean J Obstet Gynecol.  2002 Sep;45(9):1615-1618.

A case of Laparoscopic Removal of Perforated Intrauteirne device

• Hwang JH
• Park SH
• Jo KM
• Hong JH
• Jung YA
• Kim T
• Kim HJ
• Shin JW

Abstract

Intrauterine devices (IUDs) have a low complication rate and minimal side effects and are pervaded contraceptive method. Perforation of the uterus by an IUD is very rare. But perforation of the uterus is one of the most serious complications associated with insertion of IUD. During the puerperium when the uterus is small and the uterine wall is thin the risk of perforation increase. The frequency has been estimated between 0.05 and 13 per 1000 insertions. When the IUD strings are not visible during pelvic examination, physicians make efforts to locate the IUD. We experienced a laparosopic removal of perforated intrauterine device, which had been inserted on postpartum 5 th week, at posterior lower segment of uterus with intrauterine pregnancy. So we report a case with a brief review of the literature.

Keyword

Perforated IUD; laparoscopy; Intrauterine pregnancy

MeSH Terms

Contraception
Gynecological Examination
Intrauterine Devices
Laparoscopy
Postpartum Period
Pregnancy
Uterus