TALE OF MISSING COPPER T DEVICE AND SUCCESSFUL RETRIEVAL

Volume : VIII, Issue : IV, April - 2018

Dr Pujitha Murthi, Dr Shipra Sonkusare

Intrauterine devices are currently one of the most popular reversible contraception methods used worldwide. IUCD is

common method of contraception among women because of its low cost and high efficacy. Though relatively safe, it may

cause dangerous complications like uterine perforation. Perforation of the uterus by an IUCD was first described in 1930 by Murphy and Andrews

independently. The incidence of perforation is 0.1 to 3 per 1000 insertions. Uterine perforation almost always occurs during insertion of IUCD

and its incidence is related to the timing of insertion, type of device, the anatomy of the uterus and cervix, also faulty insertion technique, soft

uterine wall, recent pregnancy, abortion and previous uterine scar. With this , we are presenting a case of 25yr old, with complaints of pain

abdomen since 3 days. She was P1L1 delivered by LSCS 3 months back, IUCD insertion was done 6 weeks following the delivery. Her general

physical examination and systemic examination were within normal limits. On per speculum examination, IUCD thread was not seen. X–ray of

the pelvis was done and showed the Copper T to be anterior to the uterus. Laproscopy revealed adhesions between the omentum and anterior

abdominal wall, following successful adhesiolysis the copper T was retrieved