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

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Ranjeet Brar ◽  
Sudeendra Doddi ◽  
Anand Ramasamy ◽  
Prakash Sinha
Keyword(s):  
Closed Loop ◽  
Foreign Bodies ◽  
Abdominal Cavity ◽  
Late Complication ◽  
Contraceptive Device ◽  
Contraceptive Devices ◽  
First Case ◽  
Intrauterine Contraceptive ◽  
And Migration

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.

scholarly journals A rare case of urinary bladder stone secondary to migrating Intra Uterine Device.

2019 ◽  
Vol 5 (1) ◽  
pp. 32-34
Author(s):  
Sonam Jamtsho
Keyword(s):  
Rare Complication ◽  
Abdominal Cavity ◽  
Bladder Stone ◽  
Surgical Department ◽  
Contraceptive Devices ◽  
First Case ◽  
Intrauterine Contraceptive ◽  
Systemic Side Effects ◽  
And Migration ◽  
National Referral Hospital

 Intrauterine contraceptive devices (IUCDs) is one of the most commonly used in Bhutan. IUCDs are effective, safe, cheap, and has minimal systemic side effects. One of the major but rare complications is perforation of uterus and migration into pelvic and abdominal cavity and organs. Migrating into urinary balder is a rare complication. We report the first case of bladder stone secondary to migrating Copper T in a 50-year-old female who presented to the surgical department of Jigme Dorji Dorji Wangchuck National Referral Hospital.

scholarly journals Forgotten Lippes loop in menopausal woman left in utero for 45 years: a case report

2016 ◽  
Vol 6 (1) ◽  
pp. 355
Author(s):  
Vineet Mishra ◽  
Sugandha Goel ◽  
Himani Agarwal ◽  
Sumesh Choudhary ◽  
Priyankur Roy ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Examination ◽  
Vaginal Discharge ◽  
Menopausal Woman ◽  
Lower Abdomen ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

Intrauterine contraceptive devices are extremely effective and long lasting. They were intended for long term use and were retained for year’s altogether. Menopausal ladies often present with Lippes Loop in situ either deliberately or forgotten. We report a case of 80 years old patient who came with complaints of pain in lower abdomen and vaginal discharge and had Lippes Loop insitu, which was inserted 45 years back. The inserted Lippes Loop thread was not seen in clinical examination but visualized on Transvaginal Ultrasonography along with pyometra. It was removed under hysteroscopic guidance.

scholarly journals A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device

2015 ◽  
Vol 1 (4) ◽  
pp. 72-73
Author(s):  
A Gayatri ◽  
Nagendra Prasad
Keyword(s):  
Rare Case ◽  
Intrauterine Contraceptive Device ◽  
Cervical Canal ◽  
Contraceptive Device ◽  
Bicornuate Uterus ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Postmenopausal Female ◽  
Intrauterine Contraceptive Devices

ABSTRACT Early intrauterine contraceptive devices (IUCDs) like Lippes Loop were intended for long-term use until menopause and hence often retained for years, and many patients present well into menopause still bearing a Lippes Loop either deliberately or forgotten. We present a case of a 65-year-old postmenopausal female patient presented with complaints of spotting per vagina since 20 days, associated with white discharge per vagina. Ultrasound abdomen showed calcified endometrium with IUCD in the cervical canal. Hysteroscopy was done. As IUCD could be visualized but could not be removed, hence hysterectomy was done. How to cite this article Gayatri A, Nagarathnamma R, Prasad N. A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device. J Med Sci 2015;1(4): 72-73.

scholarly journals AN INTERVENTIONAL STUDY TO ASSESS THE CYTOLOGICAL AND COLPOSCOPIC CHANGES AFTER INTRAUTERINE CONTRACEPTIVE DEVICES INSERTION IN THE DEPARTMENT OF OBSTETRICS GYNAECOLOGY, SMS MEDICAL COLLEGE, JAIPUR

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Mamta Prajapat ◽  
Suniti Verma ◽  
R N Sehra ◽  
Jyoti Saini
Keyword(s):  
Trichomonas Vaginalis ◽  
Pap Smear ◽  
Medical College ◽  
Contraceptive Devices ◽  
Exfoliated Cells ◽  
Increased Risk ◽  
Intrauterine Contraceptive ◽  
Long Term Follow Up

Background: Cytology examines exfoliated cells, while colposcopy examines the changes that occur in the vascular structure of the cervix5. Patients with an abnormal pap smear result or patients with a suspicious-looking cervix even if they had a negative pap smear, should be evaluated by colposcopy and colposcopy directed biopsy. Methods: Interventional Prospective study conducted at Department of Obstetrics and Gynaecology, SMS Medical College & associated Hospitals, Jaipur. Results: In this study, among 15 IUCD users, 5 (33.33%) had bacterial vaginosis, 2 (13.33%) had trichomonas vaginalis and 1 (6.66%) were found candidal infection, 1 (6.66%) polymicrobial infection. Conclusion: The present study indicates that there is definite changes in the cervical architecture in IUCD users and the change is also dependent on the duration of use. A simple technique like cytology and colposcopy is highly useful in diagnosing these changes and combating them by early interference whenever necessary. The present study does not reveal any increased risk of cervicitis and dysplasia in IUCD users. We further recommend that a long term follow-up is required to rule out the possibility of any increased risk of dysplasia or carcinoma in-situ. Keywords: IUCD, Colposcopy, Dysplasia.

Prevalence of Complications after Interval Postpartum Intrauterine Device Insertion

2021 ◽  
Vol 15 (9) ◽  
pp. 2785-2788
Author(s):  
Saba Abbas ◽  
Sadia Anwar ◽  
Kalsoom Essa Bhattani ◽  
Zubaida Khanum Wazir ◽  
Rubina Babar
Keyword(s):  
Teaching Hospital ◽  
Intrauterine Device ◽  
Contraceptive Device ◽  
Expulsion Rate ◽  
Cross Sectional ◽  
Uterine Infection ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

Background and Aim: Postpartum intrauterine device (PPIUD) is a reversible, long-term and effective technique of contraception. The intrauterine device (IUD) is inserted within 48 hours of delivery. The immediate insertion of an intrauterine device causes certain complications. The present study aimed to assess the prevalence of complications after Interval Postpartum Intrauterine Device Insertion. Materials and Methods: This cross-sectional study was carried out on 147 women who underwent postpartum IUD (PPIUD) insertions during from January 2021 to June 2021 at Gynecology department, Mufti Mehmood Memorial Teaching Hospital (MMMTH), Dera Ismail Khan and Muhammad Teaching Hospital Peshawar. All the women who delivered and showed willingness for PPIUCD insertion were enrolled and continuously follow-up for 4 to 6 weeks after delivery. Demographic, obstetric, and clinical parameters were recorded on pre-designed medical proforma. PPIUCD insertion after 6 weeks of delivery were followed-up for the evaluation of complications. Uterine infection, medical removal of IUD, IUD expulsion, perforation, and method discontinuation were the outcome variables. SPSS version 20 was used for data analysis. Results: Of the total deliveries, 147 women inserted the postpartum intrauterine contraceptive device (PPIUCD). Of the total, about 122 (83%) women returned for follow-up after 6 weeks. All the women underwent transvaginal insertion of intrauterine contraceptive devices. The PPIUCD insertion related complications with prevalence were uterine infection 26 (21.3%), overall method suspension 17 (13.9%), perforation 20 (16.4%), interceptive uterine device expulsions 25 (20.5%), and intrauterine device removal 32 (26.2%). The severe uterine infection was in 2 (1.7%) cases who were hospitalized. Conclusion: The postpartum intrauterine device cumulative expulsion rate was higher among women compared to the expulsion rate of insertions. The longer duration of bloody lochia flow and delivery intrauterine device insertions were the key risk factors for expulsion of PPIUCD. Women can safely utilize intrauterine contraceptive devices with low complications beyond four week. Keywords: Postpartum intrauterine device; Complications; Intrauterine device expulsion

scholarly journals Determinants of Postpartum Intrauterine Contraceptive Device Uptake among Women Delivering in Public Hospitals of South Gondar Zone, Northwest Ethiopia, 2019: An Unmatched Case-Control Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Mandefro Assefaw ◽  
Getnet Azanew ◽  
Ayenew Engida ◽  
Zenebe Tefera ◽  
Wondimnew Gashaw
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Public Hospitals ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Care Providers ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
South Gondar ◽  
Intrauterine Contraceptive Devices

Introduction. Integrated use of postpartum intrauterine contraceptive devices with delivery service during the immediate postpartum period is ideal for both women and health-care providers. However, utilization of intrauterine contraceptive devices during the postpartum period was rare and in Ethiopia, with information regarding uptake of postpartum intrauterine contraceptive devices limited. Objective. Identify determinants of postpartum intrauterine contraceptive devices uptake among women delivering in public hospitals of South Gondar zone, Northwest Ethiopia, 2019. Methods. An unmatched case-control study was conducted in public hospitals of South Gondar, Ethiopia, from August 1, 2019, to November 10, 2019. A total of 140 cases and 280 controls have actively participated in the study. Five hospitals were selected by simple random sampling. Cases were selected consecutively, whereas two controls for each case were recruited by the lottery method. Pretested questionnaires were used to collect data and it was entered into Epidata version 4.4.2. Logistic regression analysis was used to identify variables associated with the use of outcome and adjusted odds ratio with a 95% confidence interval was used to determine the association between independent and outcome variables. Results. Completing secondary education (AOR = 4.5, 95%CI 2.3–8.85), having a total number of children of 3–4 (AOR = 3.6, 95%CI 1.25–10.2), having  ≥ 5 (AOR = 4.7, 95%CI 1.5–15.3), attending 3 antenatal care (AOR = 2.8, 95%CI 1.44–5.6), ever hearing about postpartum IUCD (AOR = 6.6, 95%CI 2.7–16.1), and having counseling from health-care provider about a postpartum intrauterine contraceptive device (AOR = 6.2, 95%CI 2.99–12.8) were significantly associated with uptake of the postpartum intrauterine contraceptive. Conclusion and Recommendation. Completing secondary education, having 3–4 and ≥5 children, attending three antenatal care, ever hearing about postpartum IUCD, and having counseling from health-care providers about the postpartum intrauterine contraceptive device among women were significantly associated with uptake of an intrauterine contraceptive device after birth. Therefore, it is better to advise women to strictly follow their antenatal care, access to information, and provide counseling.

scholarly journals Silent perforation and migration of IUCD: A diagnostic challenge in patients with pain abdomen: A case report

2021 ◽  
pp. 330-332
Author(s):  
Annapurna Srirambhatla ◽  
Srinivasa Narayanam ◽  
Poornima Lakshmi Kannepalli
Keyword(s):  
Early Recognition ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Lower Quadrant ◽  
Contraceptive Devices ◽  
Pain Abdomen ◽  
Intrauterine Contraceptive ◽  
And Migration ◽  
Prompt Diagnosis ◽  
Right Lower Quadrant

Secondary perforations of intrauterine contraceptive devices (IUCD) may be clinically silent. The patient may not report the missing threads due to a lack of acute symptoms or under the impression that the device could have been expelled. We present a case of a 42-year-old lady treated for renal cell carcinoma and presenting with recurrent right lower quadrant abdominal pain for 2 years. Ultrasound scans did not reveal any abnormality. A plain computed tomography (CT) revealed a migrated IUCD embedded in the omentum with adjacent inflammation. Although CT is not the modality of choice in the diagnosis of migrated IUCD, it proved helpful in diagnosing this case as history was not forthcoming. This case highlights the diagnostic dilemma faced in cases of silent IUCD migration presenting with pain abdomen. It is important to counsel the patient at the time of IUCD insertion for the early recognition of missing devices and prompt diagnosis of complications.

scholarly journals Intrauterine Contraceptive Device Migration Presenting as Abdominal Wall Swelling: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Imtiaz Wani ◽  
Adil Syed ◽  
Muddasir Maqbool ◽  
Iftikhar Bakshi ◽  
Hilal Bhat ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Abdominal Wall ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Open Approach ◽  
Contraceptive Devices ◽  
Impacted Foreign Body ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

A number of complications are reported with the use of intrauterine contraceptive devices. These may pursue asymptomatic course or present as an acute abdomen after migration into peritoneal cavity. The authors here are reporting an abdominal wall swelling caused by transuterine migration of a copper intrauterine contraceptive device in a 28-year-old female. An open approach was used, and impacted foreign body was retrieved.

scholarly journals Embedded Intrauterine Contraceptive Device with Cervical Fibroid

2016 ◽  
Vol 02 (01) ◽  
pp. 047-048
Author(s):  
Anupama Bhute ◽  
Sindhu Bhute
Keyword(s):  
Interesting Case ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Lower Abdomen ◽  
Incidental Diagnosis ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

AbstractIntrauterine contraceptive devices (IUCDs) are among the most frequently used methods of contraception since 1965. An embedded IUCD is a situation where there is an abnormally positioned IUCD within the endometrium or myometrium, however, without an extension through the serosa. We are reporting an interesting case that presented with a missing thread, pain in lower abdomen, and menorrhagia with incidental diagnosis of cervical fibroid.

scholarly journals Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

2018 ◽  
Vol 6 (11) ◽  
pp. 3756
Author(s):  
Pallipuram S. Bhageerathy ◽  
Scott A. Singh ◽  
Manjula Dhinakar ◽  
Jose M. Lukose
Keyword(s):  
Bowel Perforation ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Intrauterine Contraceptive Device ◽  
Greater Omentum ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Minimally Invasive Surgical ◽  
Intrauterine Contraceptive ◽  
Laparoscopic Removal

Uterine perforation followed by transmigration of intrauterine contraceptive device to the abdominal cavity is one of the rarest, but most dangerous complication of Copper T. These displaced Copper containing devices can cause chronic inflammatory reaction leading to adhesions, intestinal obstruction and even bowel perforation. Hence removal of these devices once found outside the uterus is recommended. Traditionally, a laparotomy used to be performed owing to the associated inflammation, adhesions and the risks of bowel injury. Laparoscopic removal of these displaced devices is a minimally invasive surgical approach with good results in skilled hands. Authors reported a rare case of misplaced transmigrated intrauterine contraceptive device in a 43-year-old asymptomatic lady. The Copper T had migrated after silent perforation of the uterus and was impacted in the greater omentum. There was evidence of chronic inflammation and small pockets of pus surrounding it. There were flimsy bowel adhesions. The dislodged device was successfully removed laparoscopically along with partial omentectomy without any complications. Regular follow up of patients who have had Copper T insertions and teaching them to feel the thread and report if not felt is essential to diagnose complications early. A transmigrated intrauterine device can be successfully removed laparoscopically.

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