A 25-year-old woman admitted to our clinic with mild pelvic pain 45 days following intrauterine device (IUD) insertion. During vaginal examination, IUD strings were not visualized. A pelvic X-ray showed the IUD in a position left paraumblical area. While we planned abdomino-pelvic computerized tomography (CT) imaging for the exact localization, patient developed symptoms of septic shock suddenly. İleum perforation due to an intrauterine device was detected and the device was extracted. İntestinal perforation due to new generation uterine device is very rare condition. We found approximately fifteen bowel perforation cases described in literature before and most of cases were older type devices. Early clinical diagnosis and urgent surgical removal of a perforating intrauterine device is crucial for decreasing the possible risks of abdominal complications and life-treatening conditions.

Authors: Nefise Tanridan Okcu, Gulsum Uysal, Hakan Nazik, Huseyin Kilic, Alper Sozutek

Key Words: Intrauterine device, ileum, perforation, laparotomy