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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (6): 896-898    DOI: 10.12891/ceog3171.2016
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Asymptomatic isthmico-cervical uterine perforation with IUD – our experience and literature review
R. Sparic1, J. Dotlic1, 2, *(), L. Mirkovic1, 2, J. Stamenkovic1, 2, B. Kastratovic Kotlica1, 2, L. Nejkovic3, I. Babovic1, 2, A. Malvasi4, 5, A. Tinelli5, 6
1Clinic for Obstetrics and Gynecology, Clinical Centre of Serbia, Belgrade
2Medical Faculty, University of Belgrade, Belgrade
3Clinic for Gynecology and Obstetrics "Narodni Front", Belgrade (Serbia)
4Department of Obstetrics and Gynecology, Santa Maria Hospital, Bari (Italy)
5International Translational Medicine and Biomodeling Research group Department of Applied Mathematics Moscow Institute of Physics and Technology, Moscow State University, Moscow (Russia)
6Division of Experimental Endoscopic Surgery, Imaging, Technology and Minimally Invasive Therapy of Centre for Interdisciplinary Research Applied to Medicine Department of Obstetrics and Gynecology Vito Fazzi Hospital, Lecce (Italy)
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Abstract  
Purpose: The study aim was to report an unusual case of a misplaced IUD in isthmico-cervical region causing partial uterine perforation and discuss literature data regarding such a condition. Case Report: A 50-year-old women was referred to the present institution for IUD extraction. She was diagnosed with spontaneously misplaced IUD located in isthmico-cervical region of the uterus causing partial perforation. The time of dislocation was unknown, as she was completely asymptomatic for ten years after IUD application. Moreover, she had no risk factors for device misplacement. The removal of IUD was uneventful. Conclusion: Isthmico-cervical misplacement of IUD, although rare, can occur at any time and can be asymptomatic. Thus, women with IUD should be annually checked-up in order to prevent possible IUD complications.
Key words:  Intrauterine device      Secondary perforation      Asymptomatic uterine misplacement     
Published:  10 December 2016     
*Corresponding Author(s):  J. DOTLIC     E-mail:  enadot@yubc.net

Cite this article: 

R. Sparic, J. Dotlic, L. Mirkovic, J. Stamenkovic, B. Kastratovic Kotlica, L. Nejkovic, I. Babovic, A. Malvasi, A. Tinelli. Asymptomatic isthmico-cervical uterine perforation with IUD – our experience and literature review. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(6): 896-898.

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https://ceog.imrpress.com/EN/10.12891/ceog3171.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I6/896

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