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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr0320102836.
Published online Dec 6, 2010. doi:  10.1136/bcr.03.2010.2836
PMCID: PMC3030138
Learning from errors
Intrauterine contraceptive device with rectal perforation and strings presenting at the anus
Aniekan M Abasiattai,1 Aniefiok J Umoiyoho,1 Ntiense M Utuk,1 Wilson Ugege,1 and Issac A Udoh2
1Department of Obstetrics/Gynaecology, University of Uyo Teaching Hospital, Uyo, Nigeria
2Department of Surgery, University of Uyo Teaching Hospital, Uyo, Nigeria
Correspondence to Aniekan M Abasiattai, animan74/at/
A 36-year-old grand multiparous midwife presented to the gynaecological unit of the University of Uyo Teaching Hospital with the string of an intrauterine contraceptive device (IUCD) protruding from her anus. She had had a copper IUCD inserted at a health centre 8 years earlier. However, 4 months later she noticed that she no longer felt its strings and had another IUCD inserted in the same facility when the first device was not located. Four months prior to presentation, she presented to a private clinic when she no longer felt the strings of the second IUCD. The device in the uterus was removed in the private clinic and she was referred to the teaching hospital. At the teaching hospital rectal examination and plain x-ray revealed the presence of a device. Under general anaesthesia, the device was successfully removed in theatre through the rectum with no postoperative complications.
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