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Re: Prforation of the uterus with a Mirena IUD in a waoman with a previous laparatomy. From: R. Daniel Braun (rd.braun@gmail.com) Sun Dec 16 13:37:10 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman .: "Re: --> OB: Bandl's ring" Previous message: Dean Huffman .: "$14 Million Med-Mal Verdict Tossed Out due to Judge's Actions" In reply to: Jacob : "Prforation of the uterus with a Mirena IUD in a waoman with a previous laparatomy." Next in thread: Marilyn Ringstaff: "Re: Prforation of the uterus with a Mirena IUD in a waoman with a previous laparatomy." Reply: Marilyn Ringstaff: "Re: Prforation of the uterus with a Mirena IUD in a waoman with a previous laparatomy." Since it is on the Left side of the pelvis, it is likely stuck to something. If it were free, it would have migrated to the LUQ by now. Since it is not a closed loop, it shouldn't cause strangulation of a loop of bowel. The only way it should cause a problem is by eroding into some structure. Highly unlikely. Or if she wants to get pregnant before all the agent is re;leased. Dan On Dec 16, 2007 10:59 AM, Jacob <urbache@013.net> wrote: > I would like to ask the forum for their opinion regarding a perforation > of the uterus with a Mirena IUD. The woman, a 36 yaer old para 3, with > a previous laparotomy, myomectomy. Apart from that a healthy woman. The > "lost" IUD was diagnosed a year after insertion, after an hysteroscopy, > which revealed an empty uterus, and an X ray of the pelvis, showing the > IUD in the lower left hand side of the pelvis. > What's the forum opinion, should the IUD be left in place, or an > attempet be made to withdraw it with a laparoscope. > -- R. Daniel Braun, MD FACOG(L) CMT Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine R. Daniel Braun "Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941 Next message: Dean Huffman .: "Re: --> OB: Bandl's ring" Previous message: Dean Huffman .: "$14 Million Med-Mal Verdict Tossed Out due to Judge's Actions" In reply to: Jacob : "Prforation of the uterus with a Mirena IUD in a waoman with a previous laparatomy." Next in thread: Marilyn Ringstaff: "Re: Prforation of the uterus with a Mirena IUD in a waoman with a previous laparatomy." Reply: Marilyn Ringstaff: "Re: Prforation of the uterus with a Mirena IUD in a waoman with a previous laparatomy."

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