Monday, November 30, 2009
Intra-Uterine Device Complication
A 33 year old lady was referred for ultrasound to look for intra-uterine device & confirmation of pregnnacy. She had IUCD inserted a year ago but has missed her period for the last 2 months. Urine pregnancy test was positive.
The referring doctor had examined her but couldnt locate the string in the cervical os.
Ultrasound showed a 7 week old intra-uterine fetus with normal heart beats. An echogenic object was located in the left hemi-pelvis outside the uterine wall.This is consistent with perforation - a known complication of IUCD insertion.
Perforation occurs approximately 1 in a 1000 insertions and is associated with improper insertion procedure. This may be related to the skill and experience of the inserter or an abnormally retroverted or posterior uterus.
Posted by Phoebe