Uterine perforation with Lippes loop intrauterine device-associated actinomycosis a case report and review of the literature

Contraception ◽  
2000 ◽  
Vol 61 (5) ◽  
pp. 347-350 ◽  
Author(s):  
Vorapong Phupong ◽  
Tanasak Sueblinvong ◽  
Kamthorn Pruksananonda ◽  
Surasak Taneepanichskul ◽  
Surang Triratanachat
Keyword(s):  
Case Report ◽  
Intrauterine Device ◽  
Uterine Perforation ◽  
Review Of The Literature

scholarly journals Rectovaginal Fistula on Migration of an Intrauterine Device: A Case Report and Literature Review

2021 ◽  
pp. 1-3
Author(s):  
Sophie Schoenen ◽  
Sophie Schoenen ◽  
Pascal De Leeuw ◽  
Vlad-Adrian Alexandrescu ◽  
Christian Ngongang
Keyword(s):  
Rectovaginal Fistula ◽  
Low Cost ◽  
Intrauterine Device ◽  
Rare Condition ◽  
Uterine Perforation ◽  
Review Of The Literature ◽  
Intrauterine Devices ◽  
Abdominal Organs ◽  
Wait And See ◽  
Abdominal And Pelvic Pain

Intrauterine devices (IUDs) are effective methods of contraception widely used worldwide because of their efficacy, low cost, and reversibility. Although overall well-tolerated, they may, however, cause uterine perforation, a rare but serious complication that can endanger adjacent abdominal organs. We report the case of a 50-year-old woman who consulted a gastroenterologist three years ago for the detection of blood in her feces on a screening test (Hémoccult°). Colonoscopy and abdominopelvic imaging discovered a displaced IUD embedded in the recto-sigmoidal wall. A wait-and-see approach was proposed at that time because of the absence of symptoms. Three years later, she developed abdominal and pelvic pain. On a second laparoscopic surgery procedure, we removed the IUD. Intraoperatively, a rectovaginal fistula was also discovered and sutured in different anatomical planes. Based on a comprehensive review of the literature, the management of this case is confronted with guidelines available for this rare condition.

Removal of a Missing Intrauterine Device Via Laparotomy after 28 Years of Insertion: A Case Report

2018 ◽  
pp. 1 ◽  
Author(s):  
Fatih Aktoz ◽  
Ali Can Gunes ◽  
Oguzhan Kuru ◽  
Zafer Selcuk Tuncer
Keyword(s):  
Case Report ◽  
Intrauterine Device ◽  
Uterine Perforation ◽  
Intestinal Damage ◽  
Contraceptive Methods ◽  
X Ray ◽  
Copper Intrauterine Device

<p>Intrauterine device is one of the most preferred contraceptive methods. Rare complications such as uterine perforation were getting more common due to increased use of intrauterine device and could be seen either with mild manifestations or serious cases like bladder or intestinal damage. <br />A 48-year-old patient who is consulted to our clinic because of a missed copper intrauterine device was presented. The intrauterine device was inserted 28 years ago, detected in pelvis incidentally by x-ray and extracted via laparotomy. Although device has been in abdomen for nearly three decades, we did not see any serious reaction or adhesion during surgery.<br />Management of a patient with intrauterine device should be done carefully and following the instructions before insertion, regular examination at every visit are important.</p>

Uterine perforation in an adolescent using an intrauterine device with memory function: A case report and review of the published work

2014 ◽  
Vol 41 (4) ◽  
pp. 646-649 ◽  
Author(s):  
Jin-Yi Tong ◽  
Wen-Chao Sun ◽  
Juan Li ◽  
Mei Jin ◽  
Xiu-Zhen Shen ◽  
...  
Keyword(s):  
Case Report ◽  
Memory Function ◽  
Intrauterine Device ◽  
Uterine Perforation ◽  
With Memory

scholarly journals Acute intrauterine device migration appendicitis with cecal appendix obstruction: Case report and literature review

2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Oscar Mauricio Poveda Ortiz
Keyword(s):  
Case Report ◽  
Iliac Fossa ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Uterine Perforation ◽  
Uterine Anomalies ◽  
Surgical Extraction ◽  
And Migration ◽  
The Moment ◽  
The Right

Introduction The intrauterine device is a planning method widely used in the world, however, it is not without complications, one of these is uterine perforation and migration of the IUD to the abdominal cavity, which although it is rare, has serious clinical repercussions and its study has been studied. relationship with the adequate or not insertion of the device, the size and configuration of the uterus, uterine anomalies or surgeries and the moment of insertion after delivery. Case report We present the case of a 36-year-old female patient with a 12-hour history of pain in the mesogastrium that radiates to the right iliac fossa of 9/10 weight intensity, associated with fever measured at 38.9º. He underwent diagnostic laparoscopy with a finding of acute appendicitis secondary to lumen obstruction by the IUD, so an appendectomy was performed. Conclusions The appropriate treatment when this complication occurs is surgical extraction either laparoscopically or laparotomy to reduce the risk of associated complications.

scholarly journals Application of a hormonal intrauterine device causing uterine perforation: A case report

2011 ◽  
Vol 139 (11-12) ◽  
pp. 815-818 ◽  
Author(s):  
Milica Berisavac ◽  
Radmila Sparic ◽  
Rajka Argirovic ◽  
Gernot Hudelist ◽  
Vojislav Zizic
Keyword(s):  
Case Report ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Unwanted Pregnancy ◽  
Menstrual Bleeding ◽  
Radiographic Examination ◽  
Uterine Perforation ◽  
Intrauterine Contraception ◽  
The Right ◽  
Patient Department

Introduction. The last decade of the usage of intrauterine contraception has been marked by the application of levonorgestrel-releasing hormonal devices. A hormonal intrauterine device (IUD) releases a certain amount of progestogen, whose effect on endometrium is such that, apart from preventing unwanted pregnancy, also regulates the menstrual bleeding by reducing the quantity and the duration of haemorrhage. This effect of hormonal IUDs has led to their additional indications and use, so that nowadays these IUDs are used not only as contraceptives but for therapeutic purposes as well. Case Outline. After examination and treatment in an out-patient department, a 38-year-old woman was referred to our hospital due to suspected spontaneous uterine perforation caused by hormonal IUD (Mirena?) one month after its application. Clinical and sonographic examinations were unable to determine the uterine perforation or the exact IUD location. Radiographic examination confirmed the presence of the IUD in the abdomen, so it was decided to operate on the patient. Perforation in the isthmus of the uterus and to the right was identified intraoperatively. By exploration of the genital organs and the abdominal cavity, the IUD was finally located in the omentum. Conclusion. Even in cases of adequate indications for hormonal IUD application, the doctor?s experience and complying with all the principles of appropriate insertion, we should always consider the possibility of the occurrence of serious complications, which sometimes may even require surgery. The extragenital position of IUD, as in this case, may create serious difficulties in the detection of location. A possible development of asymptomatic complications additionally emphasizes the necessity of regular check-ups of all IUD users.

scholarly journals Partial uterine perforation and ovarian embedment of misplaced intrauterine device: a case report

2020 ◽  
Vol 9 (12) ◽  
pp. 5114
Author(s):  
Abhishek Kaushik ◽  
Dalpat S. Rajpurohit ◽  
Kirti Chaturvedy ◽  
Sunil Vishnoi ◽  
Anish H. Panduranga ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Transvaginal Ultrasound ◽  
Intrauterine Device ◽  
Lower Abdominal Pain ◽  
Final Diagnosis ◽  
Uterine Perforation ◽  
Intrauterine Devices ◽  
History Of

Intrauterine devices (IUDs) are the commonest form of contraceptive method in use globally. IUDs like other methods of contraception may be associated with its own complications. The major risk includes uterine perforation with embedment, migration, and/or expulsion. A 35 year old female who had a history of postpartum IUD insertion 10 years ago was referred to our institute with complains of severe lower abdominal pain and vomiting since 10 days. Transabdominal and transvaginal ultrasound (TAS/TVS) were done. Ultrasound led to the final diagnosis of ovarian embedment of the IUD. Laparotomy with IUD removal was successfully performed. This case report highlights one of the rare complications of IUD migrating to the left ovary in a patient presenting with lower abdominal pain. In a patient with history an IUD insertion in situ, lower abdominal pain and missing threads on examination should wary the gynaecologist to the possibility of total or partial transmigration of the device into the pelvis or abdomen.

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