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Related Experiment Videos

Appendix perforation by an intrauterine contraceptive device.

E Ohana1, E Sheiner, E Leron

  • 1Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|February 26, 2000
PubMed
Summary

Intrauterine contraceptive device (IUD) perforation of the uterus is rare but serious. Two cases of IUDs perforating into the appendix during lactation highlight risks like adhesion and pain, suggesting removal and delayed use.

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Area of Science:

  • Reproductive Health
  • Surgical Complications
  • Gastrointestinal Surgery

Background:

  • Intrauterine contraceptive devices (IUDs) are common reversible contraceptives.
  • Uterine perforation is a rare but serious IUD complication, potentially affecting adjacent organs.
  • Copper IUDs can cause adhesions and related complications if located in the abdominal cavity.

Observation:

  • Two cases of uterine perforation by IUDs involving the appendix are presented.
  • Both IUD insertions occurred during lactation.
  • One patient was asymptomatic in early pregnancy; the other presented with chronic lower abdominal pain.

Findings:

  • IUDs can perforate the uterus and migrate to unusual locations like the appendix.
  • Copper within the abdominal cavity can induce adhesion formation.

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  • Adhesions may lead to secondary complications such as abdominal pain, bowel obstruction, or infertility.

    • Implications:

    • Surgical removal of an abdominal IUD is recommended, even in asymptomatic patients, to prevent complications.
    • Postponing IUD use in lactating women may be advisable due to increased perforation risk.
    • This highlights the importance of careful IUD placement and patient selection.