A case of Laparoscopic Removal of Perforated Intrauteirne device.

Hwang, Jong Ha; Park, Sung Hoon; Jo, Kweon Moon; Hong, Jin Hwa; Jung, Yu A; Kim, Tak; Kim, Hai Joong; Shin, Jin Woo

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(9):1615-1618.
Published online September 1, 2002.

A case of Laparoscopic Removal of Perforated Intrauteirne device.

Jong Ha Hwang, Sung Hoon Park, Kweon Moon Jo, Jin Hwa Hong, Yu A Jung, Tak Kim, Hai Joong Kim, Jin Woo Shin

Department of Obstetrics and Gynecology of Ansan Hospital, College of Medicine, Korea University, Seoul, Korea.

Abstract

Intrauterine devices (IUDs) have a low complication rate and minimal side effects and are pervaded contraceptive method. Perforation of the uterus by an IUD is very rare. But perforation of the uterus is one of the most serious complications associated with insertion of IUD. During the puerperium when the uterus is small and the uterine wall is thin the risk of perforation increase. The frequency has been estimated between 0.05 and 13 per 1000 insertions. When the IUD strings are not visible during pelvic examination, physicians make efforts to locate the IUD. We experienced a laparosopic removal of perforated intrauterine device, which had been inserted on postpartum 5 th week, at posterior lower segment of uterus with intrauterine pregnancy. So we report a case with a brief review of the literature.

Key Words: Perforated IUD, laparoscopy, Intrauterine pregnancy