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Reminder of important clinical lesson
Silent uterine perforation by an IUCD inserted during the puerperium

Summary

A 38-year-old lady, with a history of recent caesarean section, was diagnosed with a silent uterine perforation by a copper intrauterine contraceptive device under fluoroscopic examination. The incidence of uterine perforation and the increased risk in the puerperium are discussed. The use of ultrasound as the first line investigation is recommended.

https://doi.org/10.1136/bcr.02.2011.3840

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