To cite: Kroon HM, Smolders RGV. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215958 DESCRIPTION Pyometra, the build-up of pus in the uterine cavity, is seen in <1% of patients with cervical cancer. Spontaneous perforation of pyometra is rare and may cause a generalised peritonitis, mimicking gastrointestinal origin. 3 Despite adequate management, consistin...

BackgroundIntrauterine devices are effective and safe, long-acting reversible contraceptives, but the risk of uterine perforation occurs with an estimated incidence 1 to 2 per 1000 insertions. The European Active Surveillance Study for Intrauterine Devices, a prospective observational study that enrolled 61,448 participants (2006–2012), found women breastfeeding at time device insertion or inse...

The intrauterine device (IUD) is a widely used, highly effective method of birth control. Uterine perforation is a rare yet serious complication and is usually seen during insertion of the IUD. A regular examination is necessary for follow-up. We present a patient with an IUD that had perforated the cervix. The diagnosis was made during routine gynecological examination, and the patient was tre...

Endometriosis is one of the most common gynecological diseases, is characterized by the presence of endometrial tissue outside the uterine cavity in women of reproductive age or perimenopausal. Endometriosis “infiltrative in depth” is defined as one that penetrates more than 5 mm in the affected tissue, occurs in one third of all cases and is usually located in pelvic structures. At ileum is ve...

INTRODUCTION Intrauterine devices are often accompanied by various complications, of which the uterine perforation constitutes the most dangerous one. CASE PRESENTATION We present a case of a 41-year-old woman complaining of right upper quadrant pain. She had an intrauterine device inserted 12 years earlier without regular follow-up. Abdominal plain X-ray revealed the intrauterine device tran...

Following sterilization, intrauterine devices (IUDs) are the most widely used contraceptives in the world, especially in developing countries (1). Nowadays, IUDs are made of plastic, metal (mainly copper) and a small string. Uterine perforation is found in 1/350-1/2.500 inserts. It leads to the migration of the IUD, usually to adjacent organs to the uterus such as the rectum. Also there are rep...

BACKGROUND AND OBJECTIVE Endoscopic removal of large colonic submucosal lesions can lead to a higher risk of perforation. Although not as common following diagnostic and therapeutic colonoscopy, it does occur more often following therapeutic colonoscopy. We present a case of a large submucosal mass excised endoscopically, resulting in a large perforation that was closed using endoclips. While e...

Pyometra, by definition, is a collection of purulent fluid within the uterine cavity. Incidence has been estimated to range from 0.1% to 0.5%. Typically, this is linked to postmenopausal women; however, it has been linked to premenopausal women with concordant use of intrauterine devices. Based on our knowledge, there have been less than 50 recorded cases reported in the English literature rega...

Miss E.N. a 19-year old nullipara presented at the Accidents and Emergency unit of the Ebonyi State University Teaching Hospital (EBSUTH), Abakaliki on the 17/5/06 with symptoms and signs of peritonitis from possible uterine and bowel perforation secondary to induced unsafe abortion. At surgery, it was discovered that her problem was due to mechanical small bowel obstruction from adhesion band ...