A report of four cases with serious complications after insertion of an intrauterine contraceptive device
Fagot, R.; David, M.P.
Geburtshilfe und Frauenheilkunde 34(3): 164-167
1974
ISSN/ISBN: 0016-5751 PMID: 4838895 Document Number: 72450
Serious complications of IUDs in 4 young women are reported. The 1s t patient, 21 years old, developed severe adnexitis 6 months after insertion of a Lippes loop. The IUD was removed and antibiotic treatment was successful; the patient has since borne a child. The 2nd patient, 23 years old, developed an inflamed right tubal cystic tumor 2 years after insertion of a Lippes loop immediately following induced abortion. Recurrent inflammatory episodes were treated with anitbiotics, but peritonitiss developed and bilateral salpingo-ovariectomy was necessary. The 3d patient, 38 years old, developed peritonitis and septic shock after removal of a "butterfly" IUD which had been inserted 8 months earlier; this patient had previously been treated for uterine myoma. Laparotomy, drainage and antibiotic treatment were successful. The 4th patient, 25 years old, became pregnant 2 months after insertion of a Majzlin spring; uterine perforation resulted from her physician's attempts to remove the device (which could not have endangered the pregnancy). The injury was sutured and curettage was performed. All these cases were due to insufficient attention to contraindications of IUD USE.