Removal of extrauterine Saf-T-Coil through laparoscope.

Ledward, R. S.; Healey, Chris; Eadie, Reginald

doi:10.1136/bmj.1.5798.508-a

Cited by 6 publications

(4 citation statements)

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“…Incidence of uterine perforation is estimated to be less than 0.1%, and is a consequence of uterine injury at the time of insertion in most cases [ 6 , 7 ]. Early puerperal insertion (within 12 weeks of delivery) and pregnancy in the presence of an IUCD have been advanced as putative risk factors for uterine perforation, in addition to insertion technique [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

A Forgotten Migrated Intrauterine Contraceptive Device Is Not Always Innocent: A Case Report

Brar

Doddi

Ramasamy

et al. 2010

Case Reports in Medicine

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The incidence of transuterine perforation and migration of intrauterine contraceptive devices (IUCDs) into the abdominal cavity has been estimated at less than 0.1%. It has been suggested that intraperitoneal IUCD have low morbidity and may be left in situ. We report the first case of closed loop small bowel obstruction due to migration of a “Saf-T-Coil” IUCD into the abdominal cavity, where it became embedded in the omentum and ultimately, 31 years after deployment, coiled both arms around a loop of ileum. This late complication underlines the dangers of intra-abdominal foreign bodies, even when chemically and biologically inert.

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Section: Discussionmentioning

confidence: 99%

A Forgotten Migrated Intrauterine Contraceptive Device Is Not Always Innocent: A Case Report

Brar

Doddi

Ramasamy

et al. 2010

Case Reports in Medicine

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“…Imaging modalities such as ultrasound and abdominopelvic X-ray are key exam for evaluation [ 8 , 11 ]. If the IUD is confirmed to be in the abdominopelvic cavity, immediate surgical removal is imperative [ 12 ]. For this patient after ultrasound we requested an abdominal CT scan for it is more adequate that a plain X- ray to localize the exact position of the IUD and to evaluate the complications caused by its migration.…”

Section: Discussionmentioning

confidence: 99%

Intrauterine device migration resulting in acute appendicitis: A case report

Sebai,

Elaifia,

Atri

et al. 2024

International Journal of Surgery Case Reports

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“…If the IUD is not seen by ultrasound, refer to recommendations that prescribe a computed tomography (CT) or magnetic resonance imaging (MRI) scan. Abdominal radiography without preparation has lost its place in this indication in the face of these new imaging techniques [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Intraperitoneal migration of an intrauterine device (IUD): A case report

Benaguida

Kiram

Telmoudi

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction The IUD is one of the most widely used reversible, long-term contraceptive methods in the world. About 80% of IUDs are found in the peritoneal cavity after uterine perforation. Case report A 27-year-old female patient presented with chronic pelvic pain with minimal metrorrhagia for 8 months on IUD. On examination, there was no IUD thread. Pelvic ultrasound showed a hypoechoic, heterogeneous, poorly limited formation measuring 3 × 2.68 cm. Abdominal-pelvic CT scan showed hyperdense supravesical material surrounded by a hypo-dense, well-limited collection measuring 26 × 25 mm. Laparoscopy showed an anterior peritoneal collection above the bladder containing the IUD, a uterus, adnexa, and a bladder without abnormality. The IUD was removed after incision of the collection and aspiration of the pus. Discussion The IUD is one of the most widely used long-term reversible contraceptive methods in the world. But like any foreign body, it can present complications, notably migration after uterine perforation, which remains rare, and even rarer peritoneal localization. The clinical diagnosis is not always obvious, and additional examinations are necessary to locate the device, including endovaginal ultrasound, a CT scan or magnetic resonance imaging. WHO recommends surgical removal of the migrated IUD by minimally invasive methods, including hysteroscopy, cystoscopy, colonoscopy, or laparoscopy, depending on the location of the IUD. Conclusion IUDs are effective contraceptive measures, and the majority of patients with uterine perforation by IUD migration are asymptomatic. Diagnosis is based on a thorough gynecologic analysis and appropriate radiologic imaging.

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Removal of extrauterine Saf-T-Coil through laparoscope.

Cited by 6 publications

References 0 publications

A Forgotten Migrated Intrauterine Contraceptive Device Is Not Always Innocent: A Case Report

A Forgotten Migrated Intrauterine Contraceptive Device Is Not Always Innocent: A Case Report

Intrauterine device migration resulting in acute appendicitis: A case report

Intraperitoneal migration of an intrauterine device (IUD): A case report

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