Abstract
Case report
A 43-year old para three woman had a total abdominal hysterectomy for severe menorrhagia. During the procedure, a copper intrauterine contraceptive device (IUD) ‘TCu 380A’ was found extruding from within the small bowel lumen and partly perforating into the posterior uterine wall. The apparent insertion of the IUD was asymptomatic and she remained asymptomatic for a period of 8 years prior to presentation.
Conclusion
This is a report of an asymptomatic perforation into the ileum discovered during a hysterectomy after an asymptomatic period of 8 years in situ.
Similar content being viewed by others
References
Andersson K, Ryde-Blomqvist E, Lindel K et al (1998) Perforations with intrauterine devices. Report from a Swedish survey. Contraception 57:251–255
Gorsline J, Osborne N (1985) Management of the missing intrauterine device. Report of a case. Am J Obstet Gynaecol 153:228–230
Guillebaud J (1999) Contraception your questions answered, 3rd edn. Churchill Livingstone, London, p 358
Kassab B, Audra P (1999) The migrating intrauterine device. Contracept Fertil 27:696–700
Key TC, Kreutner AK (1980) Gastrointestinal complications of modern intrauterine devices. Obstet Gynaecol 55:239–244
Mishel DR Jr, Roy S (1982) Copper intrauterine contraceptive device event rates following insertion 4–8 weeks postpartum. Am J Obstet Gynaecol 143:29–31
Sogaard K (1993) Unrecognized perforation of the uterine and rectal walls by an intrauterine contraceptive device. Acta Obstet Gynaecol Scand 72:55–56
Zakin D, Stern WZ, Rosenblatt R (1981) Complete and partial uterine perforation and embedding following insertion of intrauterine devices. Obstet Gynaecol Surg 36:335–353
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Disu, S., Boret, A. Asymptomatic ileal perforation of an intrauterine device. Arch Gynecol Obstet 269, 230–231 (2004). https://doi.org/10.1007/s00404-003-0566-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-003-0566-x