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[Utero-vesical perforation caused by an IUD]
F Fasolis1, G Ferrero, F Porpiglia
1Divisione Universitaria di Urologia, Ospedale San Luigi Gonzaga, Orbassano, Torino.
Summary
A rare complication of intrauterine device (IUD) placement, utero-vesical puncture, occurred in a first-time user. The IUD was successfully removed endoscopically after two years.
Area of Science:
- Urology
- Gynecology
- Medical Imaging
Background:
- Intrauterine devices (IUDs) are a common form of reversible contraception.
- Complications, though rare, can occur during or after IUD insertion.
- Utero-vesical puncture is an infrequent but serious adverse event.
Observation:
- A 37-year-old woman experienced a rare complication of IUD use: utero-vesical puncture.
- This occurred in a patient using an IUD for the first time.
- The complication was incidentally discovered via echography due to vague suprapubic pain.
Findings:
- The IUD had been in place for approximately two years before diagnosis.
- Endoscopic removal of the IUD was successfully performed.
- Echography revealed the utero-vesical puncture, highlighting its diagnostic utility.
Implications:
- This case underscores the importance of considering rare IUD complications.
- It highlights the diagnostic role of echography in evaluating pelvic pain.
- Prompt diagnosis and endoscopic management are crucial for favorable outcomes.