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Uterine perforation by copper intrauterine device
Summary
Copper intrauterine devices (IUDs) can perforate the uterus, especially when inserted postpartum. A missing IUD string or painful insertion warrants investigation for uterine perforation.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
Background:
- Uterine perforation is a rare but serious complication of intrauterine device (IUD) placement.
- Postpartum insertion, particularly during uterine involution, may increase perforation risk.
Purpose of the Study:
- To analyze cases of uterine perforation caused by copper intrauterine devices (IUDs).
- To identify risk factors and clinical signs associated with IUD-related uterine perforation.
Main Methods:
- Retrospective review of sixteen cases presenting with uterine perforation due to a copper IUD.
- Surgical management via laparotomy for IUD removal.
Main Results:
- Thirteen of sixteen IUD insertions occurred within five months postpartum.
- Six insertions were reported as painful.
- A missing IUD string was the primary presenting sign in most cases.
- In ten cases, the IUD was found adhered to surrounding structures like the omentum or sigmoid colon.
Conclusions:
- Postpartum IUD insertion during uterine involution is associated with a higher risk of perforation.
- Painful IUD insertion and a missing string are critical indicators for investigating potential uterine perforation.
Keywords:
BiologyContraception--complicationsContraceptive Methods--complicationsDiseasesEuropeExaminations And DiagnosesFamily PlanningFinlandGenital Effects, FemaleGenitaliaGenitalia, FemaleInsertionIud, Copper Releasing--complicationsIud--complicationsNorthern EuropePainPerforationsPhysical Examinations And DiagnosesPhysiologyPostpartum WomenPuerperiumReproductionScandinaviaSigns And SymptomsTreatmentUrogenital EffectsUrogenital SystemUterine EffectsUterine PerforationUterus