Question 1706
{"accessible":true,"alternatives":[{"id":8478,"text":"IUCD embedment"},{"id":8479,"text":"IUCD displacement"},{"id":8480,"text":"IUCD fragmentation"},{"id":8481,"text":"IUCD perforation"},{"id":8482,"text":"IUCD peritoneal migration"}],"archived":false,"correctAlternativeId":8481,"explanation":"\u003cp\u003eThe CT image demonstrate an intrauterine contraceptive device (IUCD) within the right uterine wall with an horizontal arm crossing the uterine wall towards the peritoneal cavity, in keeping a uterine perforation. No adjacent fat stranding, fluid collection or free air in the peritoneal cavity.\u003c/p\u003e\u003cp\u003eUterine perforation is rare (incidence rate is at ~2 in 1000 cases), but considered as a serious complication. It may be clinically silent or cause pelvic pain at the time of IUCD placement.\u0026nbsp;A late perforation may be asymptomatic, or cause non-specific lower abdominal pain.\u0026nbsp;\u003c/p\u003e\u003cp\u003eThe treatment depends on the degree of perforation and associated complications (such as peritonitis or intestinal obstruction).\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e","id":1706,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/196/iucd-related-uterine-perforation-1_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":29564},"imageAttributionCaseInfo":{"title":"IUCD related uterine perforation","contributor_name":"Wouter Kroon","contributor_param":"w-kroon","case_rid":29564,"case_param":"iucd-related-uterine-perforation-1"},"firstQuestionPath":"/questions/1923","nextQuestionPath":null,"relatedArticles":[{"id":14999,"title":"IUCD-related uterine perforation","link":"/articles/iucd-related-uterine-perforation-1?lang=us"},{"id":40124,"title":"Missing IUCD","link":"/articles/missing-iucd?lang=us"},{"id":4938,"title":"Intrauterine contraceptive device","link":"/articles/intrauterine-contraceptive-device-1?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eWhich of the following IUCD complications\u0026nbsp;has occurred in this\u0026nbsp;patient with a\u0026nbsp;non-specific lower abdominal pain?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1706"}],"attemptsPercentages":[{"alternativeId":"8480","percentage":1},{"alternativeId":"8482","percentage":11},{"alternativeId":"8478","percentage":5},{"alternativeId":"8479","percentage":7},{"alternativeId":"8481","percentage":76}],"promptToLogin":false,"questionManager":false,"articleId":"embedded-intrauterine-contraceptive-device"}