Asymptomatic cervical perforation by intrauterine copper bearing contraceptive device: two unusual cases

Savardekar, Lalita; Shah, Rashmi; Walvekar, Vandana

doi:10.1016/j.ejogrb.2004.11.034

Cited by 6 publications

(9 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally of those 1821 articles after assessment and removal of duplicates 8 were selected for inclusion in the review, all case reports. In total 8 patients were enrolled in the review .Articles dated from April of 1977 to October of 2018 and all were written in English [6,7,10,11,12,13,14,15] .…”

Section: Resultsmentioning

confidence: 99%

“…The clinical data regarding the case reports of the systematic review are exhibited in table 1. Four of the case reports were published from United Kingdom [6,11,12,15] ,1 from USA [7],1 from India [10],1 from Turkey [13]and 1 from Canada [14] . All the case reports took place in University hospitals [6,7,10,11,12,13,14] apart from one case report which took place in a district hospital [15 ].The mean age of the women enrolled in the review was 35,37±7,781 SD (standard deviation), range (26-47) years.…”

Section: Case Reportsmentioning

confidence: 99%

“…Four of the case reports were published from United Kingdom [6,11,12,15] ,1 from USA [7],1 from India [10],1 from Turkey [13]and 1 from Canada [14] . All the case reports took place in University hospitals [6,7,10,11,12,13,14] apart from one case report which took place in a district hospital [15 ].The mean age of the women enrolled in the review was 35,37±7,781 SD (standard deviation), range (26-47) years. All women were premenopausal; 1 woman (12.5%) was nulligravida [14]; 3 women were reported as multigravida (37,5%) [6,13,15] .…”

Section: Case Reportsmentioning

confidence: 99%

See 2 more Smart Citations

Perforation of the Cervix by the Strings of An Intrauterine Device (IUD): А Novel Case Report and Systematic Review of the Literature

Peitsidis¹,

Ekizoglou²,

Spiliopoulos³

et al. 2022

Preprint

View full text Add to dashboard Cite

Purpose Since their introduction, intrauterine devices (IUDs) have been associated with various complications. Avery rare complication is the perforation of the cervix by the strings of the IUD. Purpose of the current study is to present a novel case of cervical perforation by the strings of a copper IUD and to perform a systematic review of the literature. Materials and Methods The patient a 43-year-old attended the gynecology clinic in order to remove her copper IUD. Speculum examination revealed that both the strings of the IUD perforated the anterior lip of the cervix. Management options were offered, the patient opted for a hysteroscopic removal. We searched the electronic databases: MEDLINE, Cochrane Library,Google Scholar,EBSCO for similar cases. Results Electronic search yielded 1821 articles; 8 were selected for inclusion. Mean age of the women was 35,37±7,781, range (26-47) years. One woman (12.5%) was nulligravida;3 women were multigravida (37,5%). Seven women (87,5%) were asymptomatic. Three IUDs (37,5%) were LNG-IUS; 5 IUDs (62,5%) contained copper. Conclusions Cervical perforation by the strings of IUD is an extremely rare clinical entity. It is asymptomatic in general and in most cases the strings of the IUD may be returned back to the endocervical canal after surgical maneuvers.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Case Reportsmentioning

confidence: 99%

Section: Case Reportsmentioning

confidence: 99%

See 1 more Smart Citation

Perforation of the Cervix by the Strings of An Intrauterine Device (IUD): А Novel Case Report and Systematic Review of the Literature

Peitsidis¹,

Ekizoglou²,

Spiliopoulos³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…The literature review revealed that IUD migration, can most of the time remain silent (85% of them were) [12] and revealed just by the disappearance of the marking string or occurrence of an unwanted pregnancy in 30% of cases [5,13,14]. The triad of abdominal pain, fever and intermittent diarrhea with a missing IUD would point to a bowel injury [15], such as gastrointestinal perforation, acute intestinal obstruction, fistula, intra-abdominal abscess or even peritonitis [16,17,18]. In our case, the device's migration was revealed by its complication, as pelvic abscess after perforation of the sigmoid colon, this complication is found in 15 to 20 % of cases [19].…”

Section: Discussionmentioning

confidence: 99%

Acute Peritonitis Complicating Sigmoid Colon Perforation by Migrating Intrauterine Device: A Case Report and Review of The Literature

Arib¹,

Barka²,

Safia³

et al. 2022

AJSCCR

View full text Add to dashboard Cite

Introduction: Intrauterine device (IUD) migration is a rare situation which can cause some serious complication such as colon perforation and high risk of infection. Its treated surgically by laparoscopy or laparotomy depending of the difficulties and complications. Presentation of Case: We show the case of a 45 year old woman, G2 P2 carrying an IUD for 15 years, who consulted for abdominal pain and fever. Abdominal imaging revealed the presence of intraperitoneal effusion of medium abundance and pneumoperitoneum. Diagnostic laparoscopy was done and the IUD was found to be embedded in the wall of the sigmoid colon which was removed after laparotomy conversion by excision of the involved segment followed by the suturing and drainage. Conclusion: In rare cases IUD can migrate, still asymptomatic for years or cause sometimes serious complications like intestinal perforation or abscess and peritonitis, this risk must be avoided by treating all migrating IUD even asymptomatic ones.

show abstract

“…It is postulated that some degree of malposition of the device later results in force exerted by the vertical stem with slow, repetitive uterine contractions which gradually propel the device through the cervical tissues. 8 , 63 Fortunately, removal can be relatively easy, usually by freeing the device initially by pushing it up toward the uterine cavity. There are reported cases of cervical perforation by the threads only, 64 which were found running in a fistulous tract along the ectocervix.…”

Section: Perforation Sitesmentioning

confidence: 99%

Intrauterine devices and risk of uterine perforation: current perspectives

Rowlands

Oloto²,

Horwell

2016

OAJC

132

View full text Add to dashboard Cite

Uterine perforation is an uncommon complication of intrauterine device insertion, with an incidence of one in 1,000 insertions. Perforation may be complete, with the device totally in the abdominal cavity, or partial, with the device to varying degrees within the uterine wall. Some studies show a positive association between lactation and perforation, but a causal relationship has not been established. Very rarely, a device may perforate into bowel or the urinary tract. Perforated intrauterine devices can generally be removed successfully at laparoscopy.

show abstract

Asymptomatic cervical perforation by intrauterine copper bearing contraceptive device: two unusual cases

Cited by 6 publications

References 5 publications

Perforation of the Cervix by the Strings of An Intrauterine Device (IUD): А Novel Case Report and Systematic Review of the Literature

Perforation of the Cervix by the Strings of An Intrauterine Device (IUD): А Novel Case Report and Systematic Review of the Literature

Acute Peritonitis Complicating Sigmoid Colon Perforation by Migrating Intrauterine Device: A Case Report and Review of The Literature

Intrauterine devices and risk of uterine perforation: current perspectives

Contact Info

Product

Resources

About