Abstract

GONZALEZ DE LA MORA, Juan José; CAZARES ROBLES, Tania Karina; NAJERA RODRIGUEZ, Iván Alberto  and  CERDA ANGELES, Juan Carlos de la. Asymptomatic perforation by IUD. Acta méd. Grupo Ángeles [online]. 2022, vol.20, n.1, pp.88-90.  Epub Oct 10, 2022. ISSN 1870-7203.  https://doi.org/10.35366/103564.

Uterine perforation by intrauterine device (IUD) insertion is a rare and potentially severe complication. It is asymptomatic in up to 56% of cases, being laparoscopic surgery the treatment of choice. A 33-year-old woman with a history of levonorgestrel-releasing IUD placement four years earlier, presented nonspecific pelvic symptoms with partial improvement after medical treatment. Ultrasonography for IUD tracking was performed without success; abdomen radiography was requested showing its extrauterine location. Laparoscopy was performed for extraction, founding IUD attached to the omentum, without complications. The most common uterine perforation mechanism occurs during IUD insertion, however, partial perforation could predispose total perforation by uterine contractions. The importance of regular radiographic follow-up after the placement of an IUD is highlighted in this case report.

Keywords : Uterine perforation; intrauterine device migration; asymptomatic uterine perforation; laparoscopic surgery.