title: Uterine perforation by GyneFix frameless IUD: two case reports.
abstract: Two cases of uterine perforation are described, occurring 11 days and 4 months, respectively, after the insertion of GyneFix, a frameless intra-uterine contraceptive device (IUD). In both the cases initial ultrasound scan showed the intra-uterine position of the device. Removal of the IUD, either by laparoscopy or laparotomy, had to be carried out. Awareness of this complication, insertion of GyneFix by a trained operator, appropriateness of ultrasound scan monitoring and possible underreporting of this complication are discussed.
authors.affiliation: Department of Gynaecology, Southport District General Hospital, Towns Lane, Kew, Southport PR8 6NJ, UK.
authors.forename: J D
authors.initials: JD
authors.lastname: Gandhi
authors.forename: J
authors.initials: J
authors.lastname: Whitmore
authors.forename: M N
authors.initials: MN
authors.lastname: Iskander
mesh_terms: D000328:Adult; D020878:Device Removal; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D010535:Laparoscopy; D013997:Time Factors; D014463:Ultrasonography; D014595:Uterine Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D014599:Uterus / Q000000981:diagnostic imaging