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January 6, 1975

IUD Appendicitis

Author Affiliations

From the Department of Surgery, West Hills Hospital, Canoga Park, Calif.

JAMA. 1975;231(1):67-68. doi:10.1001/jama.1975.03240130049028

WITH the increasing use of the intrauterine contraceptive device (IUD) there have been increasing complications. The following report is believed to be the first recorded case of the perforation of an intrauterine device from the uterus and the subsequent perforation into the appendix.

Report of a Case  A 26-year-old gravida 0 para 0 woman first came to my office on June 28, 1974, because of generalized abdominal discomfort and perineal condyloma acuminata. After the removal of the venereal warts, a pelvic examination was performed and it was noted that the IUD that the patient claimed she had was not visible at the cervix. The patient had had an IUD (shield type) for a two-year period. This had been removed two months previously and on the same day a new copper IUD (Cu-7 type) was inserted. The patient stated that two days subsequent to the insertion of the new IUD she observed