Laparoscopic removal of a migrated intrauterine contraceptive device

Meshikhes, Abdul-Wahed Nasir; Eltair, Mokhtar; Al-Zahir, Ali Ahmed

doi:10.3109/01443610903585200

Cited by 5 publications

(9 citation statements)

References 8 publications

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“…However, it may be associated with some serious complications such as uterine perforation, migration into the peritoneal cavity and erosion into adjacent organs in 1.5 cases per 1000 insertions 9. Migration occurs most frequently during the device insertion, but may also occur months or years later (delayed perforation) 6. Due to the risk of associated complications such as fistula formation and colon perforation, early retrieval of extrauterine IUCDs is recommended 6 9.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, it is recommended to remove any migrated IUCD especially copper-containing devices to avoid future complications 5. Different retrieval methods have been described in the literature ranging from minimally invasive (endoscopic or laparoscopic) removal to open abdominal surgery which may include bowel resection 5–7. Colonoscopic retrieval of migrated IUCDs is gaining popularity in recent years.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic removal of an incidentally discovered intrauterine contraceptive device eroding into the rectum

et al. 2019

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Intrauterine contraceptive device (IUCD) is a common birth control method. It is safe but can be associated with serious complications including migration into the peritoneal cavity and penetration into other intra-abdominal and pelvic viscera; most commonly the rectosigmoid colon. Different retrieval methods including endoscopy, laparoscopy or open abdominal surgery have been described. We report the case of 38-year-old woman who became pregnant shortly after insertion of the IUCD 6 years prior to presentation. She delivered vaginally and ‘expulsion’ of the device was assumed. Some 4 years later, she had another IUCD inserted and remained asymptomatic till she recently presented with iron-deficiency anaemia. As part of the investigation, diagnostic colonoscopy was performed. Surprisingly, the old IUCD was found penetrating into the midrectum. Uneventful endoscopic removal was performed and she remained well at 3-month follow-up. Migrating IUCD remains asymptomatic and may be discovered accidentally during routine investigation for some other symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endoscopic removal of an incidentally discovered intrauterine contraceptive device eroding into the rectum

et al. 2019

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“…The process of migration is uncommon and may occur as a result of repetitive reactive uterine contraction. It is often asymptomatic, but may be associated with vague pelvic or abdominal pain 6 . Studies suggest that up to 15% of perforated IUDs may cause injury to surrounding organs, most frequently the bowel 7 .…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis is achieved by gynecological examination, ultrasonography and abdominal X-ray. However, CT scan provided precise information on the abdominal migration of the IUD as well as its close relation to the adjacent tissues and viscera 6, 9. With advances in laparoscopy, these situations are being increasingly managed with minimally invasive techniques.…”

Section: Discussionmentioning

confidence: 99%

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Ureteric Obstruction Caused by a Migrated Intrauterine Device

Yang

Duan

2017

Urology Case Reports

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We present an extremely rare case of ureteric obstruction caused by a migrated intrauterine device. A 36-year-old female with complaints of almost 10 months left flank pain presented to our hospital. She used an IUD for contraception for 6 months after the birth of her first child. The IUD was not visible then. Ultrasonography (US) revealed that left severe hydronephrosis and upper ureterectasis. Pelvic computed tomography (CT) found that IUD was located very close to the lower ureter which was adjacent to the third anatomize physiological narrow. Laparoscopy was performed to remove the migrated IUD. After 5 months of surgery, left hydronephrosis was exacerbated. This time we chose to perform the ureterocystostomy to relieve the hydronephrosis. We reported this rare case to remind that we must keep alert to the loss of the IUD to prevent it may cause severe injury of the nearby organs. IUD must be carefully researched for possible perforation of the uterus and migration to the pelvic organs.

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Perforated Intrauterine Contraceptive Device: Single Institution Experience

Wahba,

Belal,

Fouad

2023

The Egypt. J. of Fert.y of Steri.

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Background: Intrauterine contraceptive device (IUCD) is the most commonly used contraceptive method, especially in developing countries given its cost-effectiveness. However, its use is not without complications, the most important of which is uterine perforation.Objective: To evaluate the clinical presentation, management and outcome of women with perforating IUCDs referred to a single tertiary centre, especially with a nationwide campaign to increase the utilization of contraceptive methods.Methodology: This is a cross-sectional study conducted at a University Hospital in the time period from January 2017 to June 2018, with the aim to evaluate cases presenting Results: We managed 32 women with perforated IUCD. All had copper IUCD. The most common presentation was pelvic pain (43.75%), however, 37.5% were asymptomatic. Ultrasound was valuable in the evaluation of surgical risk in most cases. Extraction of IUCD using minimal invasive approach was possible in 90.6 % of cases. Conclusion:The least invasive approach for extraction of perforated IUCD should always be considered as it allows an enhanced recovery. Ultrasound is an essential tool in the preoperative evaluation and can guide the surgical approach to be used.

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Laparoscopic removal of a migrated intrauterine contraceptive device

Cited by 5 publications

References 8 publications

Endoscopic removal of an incidentally discovered intrauterine contraceptive device eroding into the rectum

Endoscopic removal of an incidentally discovered intrauterine contraceptive device eroding into the rectum

Ureteric Obstruction Caused by a Migrated Intrauterine Device

Perforated Intrauterine Contraceptive Device: Single Institution Experience

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