Asymptomatic far-migration of an intrauterine device into the abdominal cavity: A rare entity

Aydoğdu, Özgü; Pülat, Hüseyin

doi:10.5489/cuaj.11100

Cited by 31 publications

(35 citation statements)

References 10 publications

(15 reference statements)

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“…10 Laparoscopic retrieval of misplaced IUCD is more preferred to laparotomy in view of minimal postoperative morbidity and hospital stay. 11 Among those attempted laparoscopically, about 23% required conversion to open surgery to complete the procedure in view of dense bowel adhesions. 10…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

et al. 2018

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Uterine perforation followed by transmigration of intrauterine contraceptive device to the abdominal cavity is one of the rarest, but most dangerous complication of Copper T. These displaced Copper containing devices can cause chronic inflammatory reaction leading to adhesions, intestinal obstruction and even bowel perforation. Hence removal of these devices once found outside the uterus is recommended. Traditionally, a laparotomy used to be performed owing to the associated inflammation, adhesions and the risks of bowel injury. Laparoscopic removal of these displaced devices is a minimally invasive surgical approach with good results in skilled hands. Authors reported a rare case of misplaced transmigrated intrauterine contraceptive device in a 43-year-old asymptomatic lady. The Copper T had migrated after silent perforation of the uterus and was impacted in the greater omentum. There was evidence of chronic inflammation and small pockets of pus surrounding it. There were flimsy bowel adhesions. The dislodged device was successfully removed laparoscopically along with partial omentectomy without any complications. Regular follow up of patients who have had Copper T insertions and teaching them to feel the thread and report if not felt is essential to diagnose complications early. A transmigrated intrauterine device can be successfully removed laparoscopically.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

et al. 2018

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“…However, if the IUCD is totally perforated and is present in the abdominal cavity, the safest and most acceptable way to remove it is by laparoscopy. [ 15 16 ] Ureteric reimplantation is the most accepted management for lower ureteric injuries and strictures. [ 3 9 ] An open approach has been done in this patient to achieve a nonrefluxing vesicoureteric anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Ureteric erosion and obstruction: A rare but dreaded complication of intrauterine contraceptive device

2017

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Though intrauterine contraceptive device (IUCD) is a safe and most frequently used long-term contraceptive method, it has some complications. Uterine perforation and intra-abdominal migration have been reported often, but a retroperitoneal migration is exceptional. Here, we are reporting an IUCD which perforated the uterus and migrated to the retroperitoneum; impinging into and obstructing left ureter causing severe hydroureteronephrosis due to the development of the left lower ureteric stricture.

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“…Among these, perforation is the most serious, with an incidence reported to be between 1.3 and 1.6 per 1000 insertions [3]. Perforations tends to occur in the immediate post-insertion period, especially during the first 6 months [4], but cases of uterine perforation have also been noted several years after insertion [5,6]. After perforation, the device can migrate into the gynecologic, urinary or gastrointestinal system organs.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Removal of a Migrated Intra Uterine Device Embedded in the Anterior Abdominal Wall in Yaounde (Cameroon), a Third World Country

Aristide¹

2017

SOJGOW

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BackgroundUterine perforation is a serious complication which can happen after intrauterine device (IUD) insertion. Following the uterine rupture, an IUD may migrate into gynecologic, urinary or gastro-intestinal system organs. There are many reports of migrated iuds but fewer report of iuds embedded in the abdominal wall. Laparoscopic removal of a migrated IUD wasn't yet described in our country. Case PresentationWe report a case of a 32-year-old Cameroonian woman who presented to our gynecologic unit for a follow-up visit 3 months after uncomplicated IUD insertion. The IUD' string wasn't found. Abdominal CT-scan showed the IUD embedded in the anterior abdominal wall. Through a laparoscopic approach, the device was removed.

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Asymptomatic far-migration of an intrauterine device into the abdominal cavity: A rare entity

Cited by 31 publications

References 10 publications

Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

Ureteric erosion and obstruction: A rare but dreaded complication of intrauterine contraceptive device

Laparoscopic Removal of a Migrated Intra Uterine Device Embedded in the Anterior Abdominal Wall in Yaounde (Cameroon), a Third World Country

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