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  • Title: Dislocated IUD and intrauterine ectopic pregnancy with uterine rupture.
    Author: Axelsson H, Winbland B.
    Journal: Obstet Gynecol; 1976 Mar; 47(3):365-6. PubMed ID: 1250566.
    Abstract:
    A case of uterine rupture due to an ectopic pregnancy in the uterine fundus is presented. A Lippes Loop was found rotated in the uterine cavity. A possible relation between implantation and the dislocated intrauterine device is proposed. A case report of uterine rupture due to an ectopic pregnancy in the uterine fundus in a 33-year-old women, gravida 4, para 3, inserted with a Lippes loop C in 1969 is presented. A pregnancy was diagnosed early in 1973 and the patient admitted for laparotomy with a preoperative diagnosis of left extrauterine pregnancy. The uterus was enlarged and the fundus was protrusive with a bleeding rupture unassociated with the tubes which were normal. Supravaginal hysterectomy was performed. In the fundus a large hematoma was found which was partly embedded in the uterine wall and had ruptured the serosa. A Lippes loop was found rotated 180 degrees in the uterine cavity. Microscopic examination of the hematoma revealed fetal material. A possible relation between implantation and the dislocated IUD is proposed.
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