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Case study: perforated uterus with displacement of intrauterine device

Posted in: Emergency Medicine, OB/GYN - Clinical Studies|August 12, 2015
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SONOSIM SUMMARY: This case report summarized the clinical course of a 37-year-old female presenting to the ED with lower abdominal pain and significant vaginal bleeding after she previously had a normal vaginal delivery and then intrauterine device (IUD) placement. A transvaginal ultrasound did not visualize an IUD, however a foreign body was noted proximal to the right adnexa. The displaced device was removed laparoscopically without complications.
IVC and RV collapsibility on ultrasound to assess undifferentiated sepsis
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

Abstract

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

February 14, 2017 System Administrator

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