Uterine perforation and laparoscopic retrieval of a levonorgestrel intrauterine system (Mirena)

Intrauterine devices and risk of uterine perforation: current perspectives

Uterine perforation is an uncommon complication of intrauterine device insertion, with an incidence of one in 1,000 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. Some studies show a positive association between lactation and perforation, but a causal relationship has not been established. Very rarely, a device may perforate into bowel or the urinary tract. Perforated intrauterine devices can generally be removed successfully at laparoscopy.

Chronic kidney disease after vesico-vaginal stone formation around a migrated intrauterine device

Although the intrauterine device (IUD) seems a reliable and relatively safe method of contraception, it may cause serious complications. A rare complication is uterus perforation. Intravesical migration and secondary calculus formation is exceptionally uncommon. The authors report on a 75-year-old woman in whom a 'forgotten' migrated IUD resulted in vesico-vaginal fistula formation and chronic kidney disease, 39 years after insertion.

Uterine Perforation by an Intrauterine Contraceptive Device

An intrauterine contraceptive device (IUCD) is an effective and widely accepted method of contraception. Although complications are uncommon, an IUCD can perforate the uterus, causing serious side effects. Sonography is often the first imaging modality used when uterine perforation is clinically suspected.

Intravesical migration of levonorgestrel-releasing intrauterine system (LNG-IUS) with calculus formation

The intrauterine contraceptive device (IUD) has been in use for many years as an effective means of birth control. Migration of the device from the uterus to the pelvic cavity is not uncommon and has been reported previously, however intravesical migration and secondary calculus formation is relatively rare. We report a 28-year-old woman in whom an intrauterine contraceptive device (LNG-IUS) migrated from the uterus to the bladder and resulted in stone formation. This case shows that the newer hormone releasing IUDs may also cause bladder perforation.