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

Amsriza, Fadli Robby; Fakhriani, Rizka

doi:10.1002/ccr3.4127

Cited by 3 publications

(5 citation statements)

References 10 publications

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“…7 Amsriza even reported a far-migrated intrathoracic IUD that was detected incidentally. 11 Their case described a 30-year history of a 'lost' IUD compared to our 13 years. Another case of 30 years from insertion to discovery was reported by Aydogdu who described an asymptomatic woman with a left upper quadrant mesentery IUD migration.…”

Section: Discussionmentioning

confidence: 87%

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Far migration of an intrauterine contraceptive device from the uterus to the small bowel

Carroll

Paradise

Schuemann

et al. 2022

Clinical Case Reports

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A sexually active, asymptomatic 44-year-old presented for Intrauterine device (IUD) removal that had been in place for 13 years. IUD removal was unsuccessful as the strings could not be located. Imaging revealed an extrauterine IUD and at surgical removal of the abdominal IUD a small bowel perforation requiring bowel resection was required. Uterine perforation is a rare complication of IUD use occurring in approximately 1-1.3 in 1000. Risk factors for perforation include provider inexperience, retroverted uterus, immobile uterus, and myometrial defect from a previous cesarean delivery or myomectomy.

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Section: Discussionmentioning

confidence: 87%

“…Less commonly, migrated IUDs can penetrate the bladder, small bowel, appendix, or colon 7 . Amsriza even reported a far‐migrated intrathoracic IUD that was detected incidentally 11 …”

Section: Discussionmentioning

confidence: 99%

Far migration of an intrauterine contraceptive device from the uterus to the small bowel

Carroll

Paradise

Schuemann

et al. 2022

Clinical Case Reports

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“…In the case of complete perforation of all three layers of the uterus, complications related to adhesion formation, such as infertility, chronic pain and intestinal obstruction, add to potential further perforations of the adjacent structures, causing haemorrhage, fistulas and peritonitis [ 4 ]. Approximately 16% of these patients develop intraabdominal infections [ 4 ] related to the typical places of migration: adnexa, bladder, broad ligaments, rectosigmoid colon, peritoneum, omentum or the small intestine [ 16 , 22 ]. Previous studies have described a constellation of urinary symptoms in patients with bladder embedded ectopic IUDs: haematuria, urodynia, urinary frequency and urgency, and even renal colic when ureteral compression followed the insertion of a branch of IUD in the ureter [ 17 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…Women with implanted IUDs should be examined periodically to verify the device’s positioning [ 22 ]. In this particular case the patient had no follow-up after IUD insertion.…”

Section: Discussionmentioning

confidence: 99%

Ectopic Intrauterine Device Revealed by Ureteral Colic in a 37-Week Pregnant Woman: Case Report

et al. 2022

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Copper T intrauterine devices (IUDs) are a popular long-acting reversible contraceptive method. The most common reasons for contraceptive failure are expulsion and extrauterine migration. We report a case of a 28-year-old female, G13P3, 37 weeks pregnant, who presented to the hospital for left abdominal flank pain. The patient was admitted for treatment of left ureteral colic. The woman went into labour, and Caesarean Section was performed due to foetal distress. During the surgery, an inspection of the peritoneal cavity revealed a copper IUD embedded in the granulous tissue located in the left lateral abdominal region, which was extracted. No uterine scar tissue could be identified macroscopically. The migration of an IUD in the abdominal cavity is a rare finding, and coexistence with third-trimester pregnancy is an infrequent but serious event due to potential visceral complications. Higher gravidity can be associated with an increased risk of IUD migration in women with a non-scarred uterus.

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“…Once the uterus is perforated, the IUD can move within the ventral pelvic cavity. Although the IUD can migrate to any organ, many cases reported in recent years have found migration to the intestinal tract (4)(5)(6), urinary tract (7), omentum (8), and intrathoracic cavity (9). Uterine perforation and IUD migration are critical complications of IUD insertion and can be successfully treated by laparoscopy, or by laparotomy in cases of severe pelvic adhesion or unforeseen complications (10,11).…”

Section: Introductionmentioning

confidence: 99%

Case report: An intrauterine device hugging the musculus rectus abdominis through the center of a cesarean scar

Jing

2023

Front. Surg.

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A 34-year-old woman presented with an abscess of the abdominal wall, with a 10-day history of rupture and discharge. She had a history of cesarean section 17 years ago, intrauterine device (IUD) insertion 5 years ago, and intermittent lumbago and abdominal pain for the past 4 years. A V-shaped IUD was observed via ultrasound between the bladder and abdominal wall, clinging to the musculus rectus abdominis through the center of the cesarean scar. Pelvic computed tomography (CT) revealed a V-shaped metal density at the anterior upper edge of the bladder, one end of which seemed to penetrate the abdominal wall. IUD migration was confirmed by surgery 2 days later. The patient recovered after IUD removal. This case affirms that a migrated IUD can lead to serious complications, even if there are no obvious symptoms for many years. Apart from the fact that the IUD has fallen out of place, a migrated IUD should be removed promptly, regardless of obvious complications. Furthermore, regular ultrasound examination is important for early diagnosis of IUD displacement. Based on the relevant literature, we also hypothesize the possible mechanism of IUD migration between the anterior bladder wall and the abdominal wall.Core tipUterine perforation and IUD migration to the organs in the abdominopelvic cavity are serious complications of IUD insertion. We present a case of uterine perforation complicated by IUD migration with the application of intraoperative ultrasound localization. This case highlights that ultrasound, especially intraoperative ultrasound, can provide objective information for the diagnosis and localization of IUD migration, with the advantages of point of care, real-time imaging, convenience, low cost, and lack of radiation. Based on this case and on the relevant literature, we hypothesized the possible mechanism of IUD migration between the anterior bladder wall and the abdominal wall. To the best of our knowledge, no previous research has discussed the process of IUD migration beyond the anterior wall of the bladder.

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

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 3 publications

References 10 publications

Far migration of an intrauterine contraceptive device from the uterus to the small bowel

Far migration of an intrauterine contraceptive device from the uterus to the small bowel

Ectopic Intrauterine Device Revealed by Ureteral Colic in a 37-Week Pregnant Woman: Case Report

Case report: An intrauterine device hugging the musculus rectus abdominis through the center of a cesarean scar

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