Late uterine perforation with an anchored IUD, the Gynefix: a case report

A case of uterine perforation which occurred two months after the insertion of a Gynefix, a frameless filiform copper intrauterine device fixed into the fundal myometrium is described. Laparoscopic removal of the device had to be performed. The incidence of this complication is unknown. The appropriateness or need of assessing echo-graphically the myometrial thickness before the insertion and of controlling its correct position after the insertion remains uncertain.