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TRANSMIGRATION OF INTRA-UTERINE DEVICE, EXPLORATORY LAPAROTOMY, RETRIEVAL AND REPAIR OF PERFORATED UTERUS.
Niger J Med 2015 Jul-Sep; 24(3):273-6NJ

Abstract

BACKGROUND

Perforation of the uterus following transmigration of Intra-uterine devise (IUD) is an uncommon finding of insertion of IUD. There is associated increased risk of accidental pregnancy,morbidity and mortality.

AIM

To report a rare clinical condition in which there was uterine perforation following migration of IUD and to increase awareness of this condition in our environment.

CASE REPORT

A 37 year old para 6⁺⁰ woman (all alive) who presented with a ten day history of lower abdominal pains following IUD insertion. Examination revealed tenderness in the suprapubic region and non-visualization of IUD thread per vaginam. Pelvic USS showed an empty uterine cavity while an abdominopelvic x-ray following tracer IUD insertion showed the IUD to be outside the uterine cavity. She had an exploratory laparotomy for retrieval of transmigrated IUD and repair of perforated uterus.

CONCLUSION

Transmigrated IUD with uterine perforation is distressing uncommmon clinical condition, and it is reported with the hope of increasing the awareness and possibly prevent this avoidable uncommon complication.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27487601

Citation

Eli, S F., et al. "TRANSMIGRATION of INTRA-UTERINE DEVICE, EXPLORATORY LAPAROTOMY, RETRIEVAL and REPAIR of PERFORATED UTERUS." Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria, vol. 24, no. 3, 2015, pp. 273-6.
Eli SF, Olisa E, Abam DS, et al. TRANSMIGRATION OF INTRA-UTERINE DEVICE, EXPLORATORY LAPAROTOMY, RETRIEVAL AND REPAIR OF PERFORATED UTERUS. Niger J Med. 2015;24(3):273-6.
Eli, S. F., Olisa, E., Abam, D. S., & Enyindah, C. E. (2015). TRANSMIGRATION OF INTRA-UTERINE DEVICE, EXPLORATORY LAPAROTOMY, RETRIEVAL AND REPAIR OF PERFORATED UTERUS. Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria, 24(3), pp. 273-6.
Eli SF, et al. TRANSMIGRATION of INTRA-UTERINE DEVICE, EXPLORATORY LAPAROTOMY, RETRIEVAL and REPAIR of PERFORATED UTERUS. Niger J Med. 2015;24(3):273-6. PubMed PMID: 27487601.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - TRANSMIGRATION OF INTRA-UTERINE DEVICE, EXPLORATORY LAPAROTOMY, RETRIEVAL AND REPAIR OF PERFORATED UTERUS. AU - Eli,S F, AU - Olisa,E, AU - Abam,D S, AU - Enyindah,C E, PY - 2016/8/5/entrez PY - 2016/8/5/pubmed PY - 2016/8/27/medline SP - 273 EP - 6 JF - Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria JO - Niger J Med VL - 24 IS - 3 N2 - BACKGROUND: Perforation of the uterus following transmigration of Intra-uterine devise (IUD) is an uncommon finding of insertion of IUD. There is associated increased risk of accidental pregnancy,morbidity and mortality. AIM: To report a rare clinical condition in which there was uterine perforation following migration of IUD and to increase awareness of this condition in our environment. CASE REPORT: A 37 year old para 6⁺⁰ woman (all alive) who presented with a ten day history of lower abdominal pains following IUD insertion. Examination revealed tenderness in the suprapubic region and non-visualization of IUD thread per vaginam. Pelvic USS showed an empty uterine cavity while an abdominopelvic x-ray following tracer IUD insertion showed the IUD to be outside the uterine cavity. She had an exploratory laparotomy for retrieval of transmigrated IUD and repair of perforated uterus. CONCLUSION: Transmigrated IUD with uterine perforation is distressing uncommmon clinical condition, and it is reported with the hope of increasing the awareness and possibly prevent this avoidable uncommon complication. SN - 1115-2613 UR - https://www.unboundmedicine.com/medline/citation/27487601/TRANSMIGRATION_OF_INTRA_UTERINE_DEVICE_EXPLORATORY_LAPAROTOMY_RETRIEVAL_AND_REPAIR_OF_PERFORATED_UTERUS_ DB - PRIME DP - Unbound Medicine ER -