Surgical options for the retrieval of a migrated intrauterine contraceptive device

Abstract

The intrauterine contraceptive device is a popular form of contraception for women; however, it does carry a rare but serious risk of migration into the myometrium and then into the peritoneal cavity. We report an unusual case of an intrauterine contraceptive device (IUCD) migrating through the uterus into the peritoneal cavity and subsequently into the sigmoid colon, which was finally retrieved laparoscopically. We also discuss three different methods for the retrieval of a migrated IUCD: colonoscopy, hysteroscopy and laparoscopy and compare and contrast each method.

Paucisymptomatic Migrated Intrauterine Contraceptive Device to the Sigmoid Colon: A Case Report

“…However a small bud was identified on the an- to retrieve a displaced IUCD depending on its location. This can be achieved endoscopically, laparoscopically, laparotomy or combination of two techniques [9][10]. Endoscopic retrieval is feasible and safe [1,2,11] and it was attempted in our case but failed because the device was not visible at endoscopy, probably covered by colonic mucosa and inflammatory changes.…”

An Intrauterine Contraceptive Device that Migrated to the Bladder and Encrusted

“…Depending on the location of the device and the potential involvement of adjacent organs, there are many ways to retrieve an IUCD (10). In the present case, we performed an endoscopic approach and fragmented the stone by laser lithotripsy.…”

Dispositivo intrauterino migrado a la cavidad abdominal con embarazo intrauterino no evolutivo: reporte de caso

“…La ubicación intramiometrial del DIU permite extraerlo mediante histeroscopia diagnóstica con las ventajas de ser un procedimiento ambulatorio que no precisa anestesia (20). Sin embargo, en caso de que haya traspasado la serosa o se encuentre embebido en estructuras peritoneales, sería preferible el abordaje abdominal (20).…”