PMC6358395_01
MCuIUD: This IUD is made of a shape memory alloy smart material with copper particles at both ends. IUD = intrauterine contraceptive device.
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F1
A 26-year-old woman, gravida 1 para 1, received the MCuIUD (Fig. 1) insertion 12 months after the first child was born when she was 22 years old.
Abdominal x-ray confirmed the presence of the IUD in the pelvis. IUD = intrauterine contraceptive device.
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F2
Abdominal x-ray confirmed the presence of the IUD in the pelvis (Fig. 2).
Hysteroscopy showed that the forearm of the IUD was incarcerated in the anterior wall of the uterus, and the hind arm located in the uterine cavity. IUD = intrauterine contraceptive device.
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F3
Hysteroscopy showed that the forearm of the IUD was incarcerated in the left anterior wall of the uterus, and the hind arm was located in the uterine cavity (Fig. 3).
Laparoscopy showed the adhesion of the left anterior wall of the uterus to the intestinal tract.
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F4
Laparoscopy showed adhesion of the left anterior wall of the uterus to the intestinal tract (Fig. 4).
The forearm of the IUD penetrates the left anterior wall muscle layer of the uterus and the sigmoid colon. IUD = intrauterine contraceptive device.
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F5
It could be seen that the forearm of the IUD penetrates the left anterior wall muscle layer of the uterus and the sigmoid colon (Fig. 5).
The IUD perforated through the entire bowel wall from the serosa to the mucosa and the hole was about 0.5 x 0.5 cm. The tissue around the rupture was nodular hyperplasia and was repaired with scissors. IUD = intrauterine contraceptive device.
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F6
The tissue around the rupture was nodular hyperplasia and was repaired with scissors (Fig. 6), then the sigmoid colon and the uterus perforation were stitched (Fig. 7).
The uterus recovered well during cesarean section.
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F8
We saw a good recovery of the uterus and sigmoid colon during cesarean section (Fig. 8).