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Am J Forensic Med Pathol · Dec 2005
Case ReportsMedicolegal aspects of an unusual uterine perforation with multiload-Cu 375R.
- Leonardo Grimaldi, Fabio De Giorgio, Pia Andreotta, M Clara D'Alessio, Carlo Piscicelli, and Vincenzo L Pascali.
- Institute of Legal Medicine, Catholic University of the Sacred Heart, Rome, Italy.
- Am J Forensic Med Pathol. 2005 Dec 1;26(4):365-6.
AbstractPerforation of the uterus is one of the most serious complications associated with insertion of intrauterine contraceptive devices (IUD). According to recent studies, this lesion occurs in 0.87 per 1000 cases, but statistics generally fluctuate between 0.05 and 13 per 1000 insertions. "Primary" perforations occur at the time of IUD insertion, and "secondary," or delayed, perforations are usually assumed to be caused by reactive uterine contractions. We report an unusual case of uterine perforation, which occurred 9 days after the insertion of a Multiload-Cu 375 IUD. The criteria for differential diagnosis between primary and secondary complications are discussed, particularly from the perspective of medical malpractice cases.
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