LAPAROSCOPIC TREATMENT FOR REMOVAL OF INTRAUTERINE DEVICE, AFTER ITS PLACEMENT WITH UTERINE PERFORATION

Abstract

The incidence of uterine perforation ranges from 0.3 to 2.6 for every 1,000 insertions of the levonorgestrel-delivery intrauterine delivery system (LNG-IUS) and from 0.3 to 2.2 for copper IUDs. Some risk factors can increase the chance of perforation during the insertion of the devices, such as breastfeeding and puerperium, lack of experience of the health professional who performs the insertion, multiparity, nulliparity, and previous cesarean sections. ³ When this complication is not identified in time, complications such as peritoneal adhesions and hypovolemic shock may occur. This case report addresses a 27-year-old female patient, admitted to the Santa Casa de Misericórdia, 30 days after IUD placement, they presented abdominal pain located in the lower abdomen, without irradiation, of moderate intensity, associated with nausea and without vomiting episodes, an imaging exam was performed that identified IUDs outside the uterine cavity,  Surgery was indicated, and the patient was well, discharged from the 1st postoperative period.