Skip to main content
SpringerLink
Log in

IUD perforation leading to obstructive nephropathy necessitating nephrectomy: a rare complication

  • Published:
Advances in Contraception

Abstract

A rare case of uterine perforation leading to ureter obstruction and ultimately to nephrectomy is presented to emphasize the importance of a careful IUD insertion technique and follow-up of IUD patients. Complications of this kind can be avoided by prompt localization of ‘missing’ IUDs by ultrasonography or X-ray.

Resumé

Un rare cas de perforation utérine ayant entraîné une obstruction de l'uretère et ultérieurement une néphrectomie est décrit dans cet article afin de souligner combien il est important d'appliquer avec soin la technique de mise en place des DIU et d'exercer un contrôle de suivi des patientes. Il est possible d'éviter des complications de cet ordre en localisant rapidement les DIU “manquants” grâce à un contrôle ultrasonique ou radiologique.

Resumen

Con el fin de recalcar la importancia que tiene el uso de una técnica cuidadosa de inserción y el seguimiento de las pacientes con DIU, se presenta un caso raro de perforación uterina con obstrucción del uréter y nefrectomía. Es posible evitar complicationes de este tipo efectuando una rápida localización de DIU “ausentes” mediante ultrasonografía o rayos X.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. LiskinL. and FoxG. (1982). IUDs: An appropriate contraceptive for many women.Population Reports,10(4), B101–35

    Google Scholar 

  2. PiotrowP. T., RinehartW. and SchmidtJ. C. (1979). IUDs—update on safety, effectiveness, and research.Population Reports,7(3), B49–99

    Google Scholar 

  3. TimonenH., ToivonenJ. and LuukkainenT. (1974). Use-effectiveness of the copper-T300 during the first year.Am. J. Obstet. Gynecol.,120, 466–69

    PubMed  Google Scholar 

  4. HassonH. M. (1978). Copper IUDs.J. Reprod. Med.,20, 139–54

    PubMed  Google Scholar 

  5. HeartwellS. F. and SchlesselmanS. (1983). Risk of uterine perforation among users of intrauterine devices.Obstet. Gynecol.,61, 31–6

    PubMed  Google Scholar 

  6. GillenwaterJ. Y. (1978). The pathophysiology of urinary obstruction. In:Campbell's Urology, 4th edn., H.Harrison, R.Gittes, A.Perlmutter, T.Stamey and P.Walls, eds., Saunders Co., Philadelphia, pp. 377–414

    Google Scholar 

  7. ArdaloroV. A. (1975). Mechanism of hypertension produced by uretal obstruction.Urology,5, 367–371

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gynecology, Deaconess House of Helsinki, Helsinki, Finland

    H. Timonen

  2. Institute of Occupational Health, Haartmaninkatu 1, SF-00290, Helsinki 29, Finland

    K. Kurppa

Authors
  1. H. Timonen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Kurppa
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Timonen, H., Kurppa, K. IUD perforation leading to obstructive nephropathy necessitating nephrectomy: a rare complication. Adv Contracept 3, 71–75 (1987). https://doi.org/10.1007/BF01849255

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01849255

Keywords

Search

Navigation