Ureteral displacement due to a migrated intrauterine contraceptive device

Perforation of the uterus is rare but potentially fatal. During puerperium when the uterus is small and its wall is thin, the risk of perforation incr eases. We report a rare complication from an intrauterine contraceptive dev ice (IUD) which caused deviation of the right ureter in a 31-year-old woman who presented with complaints of insomnia and abdominal pain. Our case sho ws that perforation of the uterus by an IUD can cause a silent urological c omplication. The possibility of ureteral involvement and displacement shoul d be kept in mind in a woman in whom a missing IUD is encountered. Copyrigh t (C) 2000 S. Karger AG, Basel.