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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
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TRANSMIGRATION OF INTRA-UTERINE DEVICE, EXPLORATORY LAPAROTOMY, RETRIEVAL AND REPAIR OF PERFORATED UTERUS
Summary
Uterine perforation from a transmigrated Intra-uterine device (IUD) is rare but serious. Early diagnosis and surgical intervention are crucial for managing this complication.
Area of Science:
- Reproductive Medicine
- Gynecological Surgery
- Medical Imaging
Background:
- Intra-uterine devices (IUDs) are common contraceptives.
- Uterine perforation is a rare complication of IUD insertion.
- Transmigration of an IUD increases risks of pregnancy, morbidity, and mortality.
Observation:
- A 37-year-old woman presented with lower abdominal pain post-IUD insertion.
- Pelvic ultrasound revealed an empty uterine cavity.
- Abdominopelvic X-ray confirmed the IUD had migrated outside the uterus.
Findings:
- The patient underwent exploratory laparotomy for IUD retrieval.
- Surgical repair of the perforated uterus was performed.
- Histopathological examination confirmed uterine perforation.
Implications:
- Highlights the importance of prompt diagnosis for transmigrated IUDs.
- Emphasizes the need for increased clinical awareness of this rare complication.
- Surgical management is essential for successful outcomes in uterine perforation cases.
