Uterine
perforation is a serious complication after insertion of an intrauterine device
(IUD). We report the case of a 34-year-old woman receiving in consultation for
abdominal pain. In the interrogation there was a notion of IUD insertion for
about a week. The gynecological examination did not find the thread of IUD and
the ultrasound performed did not visualize an IUD. Radiography of the abdomen
without preparation highlighted a compatible intrapelvic foreign thing like an
IUD. The diagnosis of pelvic inflammatory disease by uterine perforation by an
IUD was thus retained. We suggest in case of suspicion of uterine radiopaque IUD perforation
achieving radiography when the abdominal pelvic ultrasound is normal.
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