Perforation of the anterior cervix by the threads of an intrauterine device

Boog, Katie; Kumar, Vinod

doi:10.1136/bmjsrh-2018-200145

Cited by 2 publications

(6 citation statements)

References 5 publications

(4 reference statements)

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“…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%

“…Mean months since the insertion of the IUD in the 8 cases (100%) were 26,00±24,00 SD(standard deviation),range (1-72) months. In 7 cases (87,5%) the area of perforation was located in the anterior fornix [6,7,11,12,13,14] and 1 case (12,5%) the area of perforation was located in the posterior fornix [10].The distance between cervical os and the area of perforation of strings was reported in 7 case reports ;the mean distance was 9,78±4,94 mm SD (range 5-20 mm) [6,7,10,12,13,14,15].…”

Section: Case Reportsmentioning

confidence: 98%

“…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%

“…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] . Seven women (87,5%) were asymptomatic scheduled for routine check [6,7,10,11,12,13,15]; 1 woman (12.5%) attended the clinic requesting removal of IUD due to hormone-related acne possibly elicited by LNG-IUS(levonorgestrel-intrauterine system) [14] .Three IUDs (37,5%) were LNG-IUS (levonorgestrel-intrauterine system) [12,13,14 ]; 5 IUDs (62,5%) contained copper [6,7,10,11,15]; 1 IUD (12,5%) was Lippes loop [6] and 1 IUD (12,5%) was Gynefix [11].…”

Section: Case Reportsmentioning

confidence: 99%

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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

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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.

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