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Four cases of perforation of the uterus by a Lippes loop are reported along with normal controls.
A widened loop was seen in all cases of perforation and should be considered presumptive evidence of uterine perforation on the roentgenogram of the pelvis and documented by hysterosalpingography.
The value of pelvic pneumography and intravenous pyelography to assist in choosing the correct surgical approach is discussed.
Routine roentgenographic examination of the pelvis for suspected expulsion of the IUD is recommended.
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