IUD Perforates Woman’s Uterus Following Implantation

After the implantation of an IUD, a patient experienced symptoms, leading to the physician ordering a CT scan. The scan showed the IUD perforated the woman's uterus.

Cody Porcoro

Written by
— Updated on September 28, 2021

IUD Perforates Woman’s Uterus Following Implantation

This case involves a 34-year-old woman who had just given birth to her second child. She presented to her physician shortly after delivery for sterilization options. After consultation, the physician inserted a Mirena IUD. However, the following year, the patient began to experience persistent cramps and abnormal bleeding. She presented to her physician who ordered a CT scan. The scan showed that the IUD’s right arm was extending outside the confines of the uterus and thus perforated the uterine body.

Question(s) For Expert Witness

  • Do you routinely treat patients like the one described above? How long have you been practicing in this capacity?
  • Have you ever had a patient develop the outcome/complications noted above?

Expert Witness Response E-000171

I routinely insert Mirena IUD’s. I also function as a consultant for a large practice of family physicians who send me problem gynecologist patients. Among the referrals are many IUD problems, including patients with perforated IUD’s. I have never experienced perforation in a patient in whom I personally inserted the IUD, but I have seen and managed a number of these cases.

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