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Obstetrics & Gynecology 1969;34:266-270
© 1969 by The American College of Obstetricians and Gynecologists
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Uterine Perforation with the Lippes Loop

Detection by Hysterography

KAMLA DHALL, MD, DGO, G I DHALL, MB, BS, MRCOG and BRIJ BALA GUPTA, MD, DMRD (London)

From the Departments of Obstetrics and Gynecology and of Radiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Abstract

Disappearance of the nylon thread from the cervical os of 45 asymptomatic women, without spontaneous expulsion of a Lippes loop, impelled hysterographic study. Uterine perforation was demonstrated in 8 of the 45 patients, the IUD having passed into the peritoneal cavity in 4 patients and partially so in the 4 others. The latter were successfully treated by the use of an intrauterine hook passed vaginally in the removal of the IUD; 2 of 4 women with a wholly intraperitoneal device submitted to laparotomy for its retrieval.






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Copyright © 1969 by the American College of Obstetricians and Gynecologists.