Özet:

Intrauterine contraceptive (RIA) is a contraceptive method that is commonly used throughout the world, especially in developing countries. Uterin perforation is a rare but significant complication that occurs during the placement of RIAs. In the presentation of this fact; in the check-in of a patient in RIA, it is presented a missing RIA fact that the RIA thread is not seen but will be protected from pregnancy, which is later neglected in pregnancy and birth. At thirty-eight years old, the patient with 4 pregnancies and 4 vaginal birth history was sent to our clinic due to the missing RIA. The patient was diagnosed with RIA in a clinic 6 weeks after normal vaginal birth 2 years ago, then in the clinic he applied with pain complaint in the examination that RIA was not seen but said it would protect from pregnancy, then he was pregnant and made vaginal birth. Gynecological examination of the patient was normal. In ultrasound, the uterus and adnex were normally observed, Douglasta RIA ecodes were observed. RIA was removed laparoscopically. It is believed that during the RIA establishment, the uterus was perforated and Douglasa was placed. Patients who have a history of RIA infection and who do not see RIA lines in the examination must necessarily identify the RIA localization. In patients with empty uterus cavity, uterus perforation should be remembered.