A case of spontaneous uterine perforation result from acute gangrenous myometritis in an old woman with IUD for 40 yrs.

Kook, Ill Young; Cheon, Keun Young; Chung, Jae Eun; Kim, Mee Ran; Lim, Young Taik; Bae, Seog Nyeon; Kim, Jin Hong

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(3):710-715.
Published online March 1, 2006.

A case of spontaneous uterine perforation result from acute gangrenous myometritis in an old woman with IUD for 40 yrs.

Ill Young Kook, Keun Young Cheon, Jae Eun Chung, Mee Ran Kim, Young Taik Lim, Seog Nyeon Bae, Jin Hong Kim

Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea. mrkim@catholic.ac.kr

Abstract

Intrauterine devices (IUDs) are highly effective, long-term methods of contraception. Although evidences of direct association between IUD use and pelvic inflammatory disease are rare, the frequency of inflammatory complications associated with the use of IUDs ranges from 2% to 8%. Gynecological surgeries on the account of purulent, inflammatory disease associated with IUD are 4-7%. We report one case with spontaneous perforation of uterus due to acute gangrenous myometritis in an old woman with IUD for 40 yrs in pelvic cavity, followed by a review of the literature.

Key Words: IUD, Uterine perforation, Acute gangrenous myometritis