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CASE REPORT
Year : 2015  |  Volume : 24  |  Issue : 3  |  Page : 273-276

Transmigration of intra-uterine device, exploratory laparotomy, retrieval and repair of perforated uterus


Department Of Obstetrics And Gynaecology, University Of Portharcourt Teaching Hospital, Rivers State, Nigeria

Correspondence Address:
S F Eli
Department Of Obstetrics And Gynaecology, University Of Portharcourt Teaching Hospital, Rivers State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1115-2613.278939

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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: A 37 year old para 6+0 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.


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