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An unusual case report of bladder perforation after intrauterine device insertion: Diagnosis and retrieval by flexible hysterofibroscopy

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Case Report

Author Details : Aditi Rai*, Deepak Bolbandi

Volume : 7, Issue : 3, Year : 2020

Article Page : 436-438

https://doi.org/10.18231/j.ijogr.2020.092

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Abstract

Uterine perforation is an uncommon complication of intrauterine device insertion, with an incidence of
uterine perforation by IUCD ranged from 0.4 to 1.6 per 1000 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. We hereby describe a case report of a 36-year-old lady who presented with abdominal pain and her
imaging with an ultrasound revealed a perforation of the uterus and partially migrated to the urinary bladder
lumen. The IUCD was easily removed by grasping the tip of the vertical arm with the forceps of the flexible
hysterofibroscope and directly pulling it out appropriately. Most cases are due to traumatic perforation that
occurs at the time of insertion. However, “secondary” perforation can also occur by gradual erosion. Most
of the uterine perforations by IUCD are uncomplicated, with the device lying in a quiescent state in the
abdomen.

Keywords: Uterine perforation, Intrauterine device, Intrauterine system, Bladder perforation, Inflamatory procedure.

How to cite : Rai A, Bolbandi D, An unusual case report of bladder perforation after intrauterine device insertion: Diagnosis and retrieval by flexible hysterofibroscopy. Indian J Obstet Gynecol Res 2020;7(3):436-438

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