Uterine perforation in a 27-year-old woman, a rare complication of copper intra-uterine device: a case report

Seth Amponsah-Tabi; Martin Y. Kekertsor; Helen A. Ofori; Cecil Y. A. Bosque-Hamilton

doi:10.18203/2320-1770.ijrcog20251589

Authors

Seth Amponsah-Tabi Department of Obstetrics and Gynaecology, Suntreso Government Hospital, Kumasi, Ashanti, Ghana; Department of Obstetrics and Gynaecology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana https://orcid.org/0000-0001-8074-0145
Martin Y. Kekertsor Department of Obstetrics and Gynaecology, Suntreso Government Hospital, Kumasi, Ashanti, Ghana
Helen A. Ofori Department of Obstetrics and Gynaecology, Suntreso Government Hospital, Kumasi, Ashanti, Ghana
Cecil Y. A. Bosque-Hamilton Department of Obstetrics and Gynaecology, Suntreso Government Hospital, Kumasi, Ashanti, Ghana

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20251589

Keywords:

Copper intra-uterine device, Contraception, Perforation, Uterus

Abstract

Uterine perforation by copper intra-uterine device (IUD) though rare presents as a management challenge to the clinician. A 27-year-old woman of African descent presented with missing strings of a copper IUD that was inserted 2 weeks ago. Ultrasonography (USG) showed device outside the uterus. The initially planned laparoscopic removal at a teaching hospital was unsuccessful due to diagnostic challenges. Copper IUD was successfully removed by laparotomy under USG guidance. Copper IUD is a safe and effective method of contraception. Uterine perforation is a rare complication. Early identification, counselling and prompt removal are necessary to avert further complications.

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Author Biographies

Martin Y. Kekertsor, Department of Obstetrics and Gynaecology, Suntreso Government Hospital, Kumasi, Ashanti, Ghana

Department of Obstetrics and Gynaecology, Suntreso Government Hospital

Helen A. Ofori, Department of Obstetrics and Gynaecology, Suntreso Government Hospital, Kumasi, Ashanti, Ghana

Department of Obstetrics and Gynaecology

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