Author(s): Abdel Karim Sermé, Aboubacar Coulibaly, Koumpielimé Sosthène Somda, Dimitri Darankoum, Delphine Napon/Zongo, Soré Moussa Zanga, Hector Godonou, Kadidiatou Cissé, Issiaka Ouedraogo, Ali Ouedraogo
Uterine perforation is a serious complication after insertion of an intrauterine device (IUD). We report the case of a 34-year-old woman receiving in consultation for abdominal pain. In the interrogation there was a notion of IUD insertion for about a week. The gynecological examination did not find the thread of IUD and the ultrasound performed did not visualize an IUD. Radiography of the abdomen without preparation highlighted a compatible intrapelvic foreign thing like an IUD. The diagnosis of pelvic inflammatory disease by uterine perforation by an IUD was thus retained. We suggest in case of suspicion of uterine radio paque IUD perforation achieving radiography when the abdominal pelvic ultrasound is normal.
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