Far-migrated Intra-abdominal Intrauterine Device with Abdominal Pain

Sun, Cheng-Chian; Chang, Cheng‐Chang; Yu, Mu-Hsien

doi:10.1016/s1028-4559(08)60095-9

Cited by 20 publications

(32 citation statements)

References 9 publications

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“…1 An IUD may potentially perforate through the uterine wall into the gynecologic, urinary or gastrointestinal system organs. 2 Migration of an IUD to the pelvic and abdominal cavity or neighbouring organs may result in several complications. More frequent problems include lower urinary tract symptoms, stone formation around the IUD, uterovesical fistula and stricture of the rectosigmoid colon.…”

Section: Discussionmentioning

confidence: 99%

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

Aydoğdu¹,

Pülat²

2012

CUAJ

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Uterine perforation is a serious problem which can happen after intrauterine device (IUD) insertion. Migration of the IUD to the pelvic and abdominal cavity or adjacent organs may be seen following perforation of the uterus. Migration of an IUD to a far intra-abdominal site is extremely rare. The patient reported here had undergone an IUD placement 30 years previously and had no problems during this period. The IUD was incidentally found at the left upper quadrant of the abdomen in the mesentery.

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Section: Discussionmentioning

confidence: 99%

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

Aydoğdu¹,

Pülat²

2012

CUAJ

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“…3 Other less serious complications can include perforation of the uterus, vagal reaction, vaginal bleeding, lower abdominal pain, ovarian cyst, dysmenorrhea, expulsion of the IUC, ectopic pregnancy, and pelvic infection. 8 Recent studies suggest that uterine perforation by an IUC occurs in .87 per 1000 cases, but the incidence can range from .05 to 13 per 1000 insertions. 3 Patients with an extremely retroverted or retroflexed uterus are at higher risk of uterine perforation.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, patients who have just delivered vaginally (within the first 6-8 weeks postpartum) have a greater tendency to expel their IUCs spontaneously because of an incompletely involuted uterus and an unhealed cervix. 8 In the cases of IUC migration that are reported in the literature, gynecologic tissues are the most often affected targets. These tissues include the cervix, broad ligament, ovary, and uterine myoma.…”

Section: Discussionmentioning

confidence: 99%

“…The urinary system and rectosigmoid colon were found to be the next most commonly involved. 8 There has also been a report of migrating IUC leading to appendicitis. 9 However, it is extremely rare to see migration of an IUC device to a location far removed from the lower abdomen, such as in this case of migration to the upper left quadrant.…”

Section: Discussionmentioning

confidence: 99%

“…9 However, it is extremely rare to see migration of an IUC device to a location far removed from the lower abdomen, such as in this case of migration to the upper left quadrant. 8 …”

Section: Discussionmentioning

confidence: 99%

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Uterine perforation and migration of an intrauterine contraceptive device in a 24-year-old patient seeking care for abdominal pain

Barber

Chalifour²,

Anderson

2011

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the case of a 24-year-old woman complaining of diffuse abdominal pain following insertion of an intrauterine contraceptive device (IUC). Methods: A 24-year-old woman, 8 weeks postpartum, sought chiropractic care for intermittent stabbing pain in her left upper quadrant that had been present for a week. She returned 1 week later with no resolution of her complaint. She then recalled that, at her 6-week gynecological examination, she had undergone insertion of an IUC and that the abdominal pain had begun a week later. She was advised to return to her gynecologist. Subsequent evaluation by the gynecologist revealed that the IUC had perforated her uterus and had migrated to the upper left quadrant of her abdomen, where it was found anterior to the L1-2 vertebral bodies, lying in contact with the anterior surface of the abdominal aorta. To our knowledge, this is the only report of this type of presentation in a chiropractic office. Results: The initial intervention with this patient included chiropractic adjustment and myofascial release. At her subsequent visit, with no resolution of her complaint, she was referred back to her gynecologist for additional evaluation. Because the IUC had perforated her uterus, she underwent emergency laparoscopic surgery. The surgery was successful, and she recovered fully. Conclusion: Chiropractic physicians should consider uterine perforation by IUC in the differential diagnosis of a female patient of childbearing age seeking care for abdominal pain.

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Far‐migration of an intrauterine device in the intrathoracic cavity: A rare case report

Amsriza

Fakhriani

2021

Clinical Case Reports

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Far-migrated Intra-abdominal Intrauterine Device with Abdominal Pain

Cited by 20 publications

References 9 publications

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

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

Uterine perforation and migration of an intrauterine contraceptive device in a 24-year-old patient seeking care for abdominal pain

Far‐migration of an intrauterine device in the intrathoracic cavity: A rare case report

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