Gynaecology / Contraception
Perforation of the uterus by a Mirena IUS
Juliet was 42 when her uterus was perforated by a Mirena IUS inserted by her GP. She was referred to hospital the next day, and a laparoscopy was performed, revealing that the Mirena had passed through the posterior wall of the uterus. It was alleged that both the insertion of the Mirena and prior consultation were negligent. PMS Expert Report concluded that the GP's insertion of the Mirena was erroneous, but that this is a recognised complication of insertion of an interuterine device. Failure to inform Juliet of this complication would amount to negligence, but the medical notes were inconclusive on this issue. The case was dismissed.
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