Above: Normal-appearing IUD positioning
Derrick BJ, Jafri FN, Saul T, Lewiss RE. Perforated Uterus with Displacement of Intrauterine Device. Journal of Emergency Medicine. 2013 Jun; 44(6): 1144 – 1145
A 37-year-old woman presented to the Emergency Department with lower abdominal pain and vaginal bleeding. Three weeks before presentation, she had delivered a full-term healthy infant vaginally, and 2 days before, she had an intrauterine device (IUD) placed. The patient complained of persistent lower abdominal pain and constant bleeding since the procedure. She reported the need to change a sanitary pad five to six times per day. She was afebrile with normal vital signs. A point-of-care urine test was negative for pregnancy.
To read the article, visit The Journal of Emergency Medicine Website.
SonoSim Keywords: IUD, Uterus Perforation, Transvaginal Ultrasound, Pelvic Ultrasound, Obstetrics and Gynecology