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  • Title: Perforation of uterus of Lippes loop (a case report).
    Author: Mali S, Mukerjee K, Rastogi S.
    Journal: J Obstet Gynaecol India; 1968 Apr; 18(2):338-40. PubMed ID: 12331824.
    Abstract:
    Perforation of the uterus by the Lippes loop (a rare complication, frequency .6 per 1000) is described in 1 case where after repeated attempts at removal, the IUD was found in the abdomen embedded in the omentum and on the anterior surface of the uterus. Perforation usually occurs while introducing an IUD, but may also be due to improper removal or to erosion by the device and migration through the uterine wall. Patients usually complain of crampy pain with menorrhagia or spasmodic colicky pain with low backache, and may develop an acute abdominal emergency. However, in many cases where the loop has entered the peritoneal cavity, adhesions were minimal and neither peritonitis nor intestinal obstruction requiring immediate laparotomy were present; these facts support the advantages of the loop for mass programs.
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