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Case Report
Asymptomatic isthmico-cervical uterine perforation with IUD – our experience and literature review
R. Sparic1, J. Dotlic1,2,*, L. Mirkovic1,2, J. Stamenkovic1,2, B. Kastratovic Kotlica1,2, L. Nejkovic3, I. Babovic1,2, A. Malvasi4,5, A. Tinelli5,6
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1
Clinic for Obstetrics and Gynecology, Clinical Centre of Serbia, Belgrade
2
Medical Faculty, University of Belgrade, Belgrade
3
Clinic for Gynecology and Obstetrics "Narodni Front", Belgrade (Serbia)
4
Department of Obstetrics and Gynecology, Santa Maria Hospital, Bari (Italy)
5
International Translational Medicine and Biomodeling Research group Department of Applied Mathematics Moscow Institute of Physics and Technology, Moscow State University, Moscow (Russia)
6
Division of Experimental Endoscopic Surgery, Imaging, Technology and Minimally Invasive Therapy of Centre for Interdisciplinary Research Applied to Medicine Department of Obstetrics and Gynecology Vito Fazzi Hospital, Lecce (Italy)
Clin. Exp. Obstet. Gynecol. 2016, 43(6), 896–898;
https://doi.org/10.12891/ceog3171.2016
Published: 10 December 2016
Abstract
Purpose: The study aim was to report an unusual case of a misplaced IUD in isthmico-cervical region causing partial uterine perforation and discuss literature data regarding such a condition. Case Report: A 50-year-old women was referred to the present institution for IUD extraction. She was diagnosed with spontaneously misplaced IUD located in isthmico-cervical region of the uterus causing partial perforation. The time of dislocation was unknown, as she was completely asymptomatic for ten years after IUD application. Moreover, she had no risk factors for device misplacement. The removal of IUD was uneventful. Conclusion: Isthmico-cervical misplacement of IUD, although rare, can occur at any time and can be asymptomatic. Thus, women with IUD should be annually checked-up in order to prevent possible IUD complications.
Keywords
Intrauterine device
Secondary perforation
Asymptomatic uterine misplacement