scholarly journals Migration of intrauterine device into the pelvic cavity: exploration strategy and management in African environment

2017 ◽  
Vol 6 (2) ◽  
pp. 757
Author(s):  
Abdoul Aziz Diouf ◽  
Moussa Diallo ◽  
Omar Gassama ◽  
Mouhamadou Mansour Niang ◽  
Mariétou Thiam ◽  
...  
Keyword(s):  
Rare Complication ◽  
Intrauterine Device ◽  
Pelvic Cavity ◽  
Uterine Perforation ◽  
Insertion Technique ◽  
Exploration Strategy ◽  
And Migration

IUD migration is a rare complication. We report our experience in the treatment of five cases of uterine perforation and migration of IUDs. The average age of patients was 34.6 years, an average parity was 4. All patients felt an unusual pain during insertion of the IUD Tcu 380A. The location of the IUD was done through ultrasound and hysterography. Removal by laparoscopy was performed in all cases. The immediate impacts of the surgery were simple. Hysterography has its place in the location of the migrated IUD. Prevention is a good IUD insertion technique.

scholarly journals MIGRATION OF THE INTRAUTERINE DEVICE TO THE ABDOMINAL CAVITY

2017 ◽  
Vol 25 (2) ◽  
pp. 247-262
Author(s):  
D. A. Rahmonov ◽  
F. Sh. Rashidov ◽  
E. L. Kalmykov ◽  
M. M. Marizoeva ◽  
O. B. Bobdjonova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Uterine Cavity ◽  
Pain Syndrome ◽  
Pregnant Patient ◽  
Pelvic Cavity ◽  
And Migration ◽  
Laparoscopic Removal

The aim: demonstration of our experience of surgical treatment of patients with migrated intrauterine device (IUD) into the abdominal cavity. The results of surgical treatment of migrated IUDs in the pelvic cavity are summarized in 17 women. The average age of the patients was 33,23,4 years. The timing of implantation of the IUDs varied from 10 days to 24 months. In all cases, the intra operational finding was T-shaped a copper device. The reason behind the women's consultation was an increase in pain syndrome in the lesser pelvis (n=15), dysuric phenomenon (n=1) and the onset of pregnancy (n=1). Perforation of the uterus and migration of the spiral occurred from 10 days to 2 years after its implantation. All patients were operated laparoscopicaly. The average duration of operations was 45,510,5 minutes. In the postoperative period there were no complications from the pelvic organs and postoperative wounds. The period of hospitalization of patients was 3,50,7 days. In all cases there was a regression of clinical signs and recovery. In one pregnant patient (gestation period 5-6 weeks) the pregnancy proceeded without particular pathological abnormalities and resulted in the birth of a full-term child. Laparoscopic removal of the IUD migrating from the uterine cavity to the abdominal cavity is the method of choice in the treatment of this group of patients, avoiding development of intra- and postoperative complications and a shorter length of stay in the hospital. The effectiveness of the procedure reaches 100%. The most common cause of complication of the IUD is the perforation of the uterus during its implantation.

Wandering intrauterine contraceptive device: an unusual case of migration to the sigmoid colon

2021 ◽  
Vol 15 (1) ◽  
pp. 1-6
Author(s):  
Elpida Samara ◽  
Kerry Howe-Bush ◽  
Mark Portet ◽  
David C Howlett
Keyword(s):  
Sigmoid Colon ◽  
Intrauterine Device ◽  
Uterine Cavity ◽  
Major Complication ◽  
Unusual Complication ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Pelvic Magnetic Resonance Imaging ◽  
Intrauterine Contraceptive ◽  
And Migration

An intrauterine device is a well-tolerated and widely used contraceptive method. A rare but major complication is perforation of the uterus and migration into the sigmoid colon. In this case report, a 33-year-old woman presented for follow up after placement of a copper-T intrauterine device 4 months previously. A clinical examination found significant tenderness on palpation, and the threads could not be detected. An ultrasound was conducted, which revealed no coil in the uterine cavity. The pelvic x-ray found it in the mid-pelvis and pelvic magnetic resonance imaging confirmed the position of the T-component at the mid-sigmoid colon. The patient underwent a sigmoidoscopy, which confirmed the position in the sigmoid colonic wall. The device was removed with an endoscopy without further complications. Uterine perforation and translocation to the sigmoid colon is an unusual complication of an intrauterine device. Removal of a translocated intrauterine device is recommended in all symptomatic cases.

scholarly journals Migration of intra caesarean intrauterine device to sigmoid colon: a case report

2019 ◽  
Vol 7 (11) ◽  
pp. 4404
Author(s):  
Jharna Behura ◽  
Sanjiva Kumar
Keyword(s):  
Caesarean Section ◽  
Sigmoid Colon ◽  
Post Partum ◽  
Rare Complication ◽  
Intrauterine Device ◽  
Uterine Wall ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Uterine Incision ◽  
Long Acting

Post-partum intrauterine contraceptive device inserted during caesarean section provides long acting reversible contraception to women soon after birth. It is now well accepted for its safety and efficacy. Uterine perforation, which is one of the most serious complication of PPIUCD has rarely been reported following intracaesarean insertion. The thick uterine wall and placement under direct vision helps prevent perforation. However, migration of IUCD to peritoneal cavity, causing perforation of several adjacent organs can occur due to improper closure of the uterine incision. Migration to sigmoid colon is an extremely rare complication. Authors present the case of a 29-year-old woman who had a Cu T 380 A insertion during Caesarean section. After 12 months of insertion, the patient suffered abdominal pain gradually increasing in intensity and frequent episodes of bleeding per rectum. Laparoscopic exploration revealed IUCD perforating the sigmoid colon completely and adhesions of bowel loops to the sigmoid colon. Extraction using laparoscopic method by gently pulling the threads was unsuccessful and the patient was managed by laparotomy.

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 Laparoscopic retrieval of displaced copper T: Two case reports

2014 ◽  
Vol 3 (1) ◽  
pp. 38-40
Author(s):  
Anu Bajracharya ◽  
Rachana Shah
Keyword(s):  
Contraceptive Method ◽  
Case Reports ◽  
Intrauterine Contraceptive Device ◽  
Pelvic Cavity ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
X Rays ◽  
Medical College ◽  
Intrauterine Contraceptive ◽  
And Migration

Intrauterine contraceptive device (IUCD) is a widely accepted contraceptive method because of its safety, economic quality, efficiency and reversibility. However, it may cause serious complications like bleeding, uterine perforation and migration to abdominopelvic cavity with perforation or adhesion to adjacent organs or omentum. We report two cases of uterine perforation with copper T insertion that were displaced in the pelvic cavity. In both the cases, IUCD was located by using plain X-rays of abdomen, ultrasonography, and hysteroscopy and finally laparoscopy was performed to identify the location and then remove the IUCD. DOI: http://dx.doi.org/10.3126/jkmc.v3i1.10923  Journal of Kathmandu Medical College Vol. 3, No. 1, Issue 7, Jan.-Mar., 2014, Page: 38-40

scholarly journals Missing IUD Despite Threads at the Cervix

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Andrew L. Atkinson ◽  
Jonathan D. Baum
Keyword(s):  
Intrauterine Device ◽  
Uterine Cavity ◽  
Uterine Perforation ◽  
Pelvic Magnetic Resonance Imaging ◽  
Multiple Imaging ◽  
Gentle Traction ◽  
Diagnostic Hysteroscopy ◽  
Magnetic Resonance Imaging Mri ◽  
And Migration

Today, the intrauterine device (IUD) is by far the most popular form of long term reversible contraception in the world. Side effects from the IUD are minimal and complications are rare. Uterine perforation and migration of the IUD outside the uterine cavity are the most serious complications. Physician visualization and/or the patient feeling retrieval threads at the cervical os are confirmation that the IUD has not been expelled or migrated. We present a case of a perforated, intraperitoneal IUD with threads noted at the cervical os. Office removal was not possible using gentle traction on the threads. Multiple imaging and endoscopic modalities were used to try and locate the IUD including pelvic ultrasound, diagnostic hysteroscopy, cystoscopy, and pelvic magnetic resonance imaging (MRI). The studies gave conflicting results on location of the IUD. Ultimately, the missing IUD was removed via laparoscopy.

scholarly journals Removal of Migrated Intrauterine Devices to Appendix, Small Intestine and Omentum: Case Reports

2021 ◽  
pp. 1-3
Author(s):  
Begoña Alcaraz Freijo ◽  
Begoña Alcaraz Freijo ◽  
Jose Antonio López­ Fernández ◽  
Tina Martin Bayon ◽  
Emma Vilanova Blanes ◽  
...  
Keyword(s):  
Small Intestine ◽  
Case Reports ◽  
Rare Complication ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Efficacy And Safety ◽  
High Efficacy ◽  
Intrauterine Devices ◽  
And Migration ◽  
Fertile Women

The intrauterine device (IUD) is a very commonly used contraceptive method among fertile women due to its high efficacy and safety. A very rare complication is uterus perforation and migration to the abdominal cavity, with injury of structures nearby. In this work three cases are reported with different organ involvement and a review of uterus perforation is made.

scholarly journals Ex-vivo forces associated with intrauterine device placement and perforation: a biomechanical evaluation of hysterectomy specimens

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jane Duncan ◽  
Kathryn Fay ◽  
Jessica Sanders ◽  
Benjamin Cappiello ◽  
Jane Saviers-Steiger ◽  
...  
Keyword(s):  
Ex Vivo ◽  
Intrauterine Device ◽  
Compressive Force ◽  
Premenopausal Women ◽  
Biomechanical Analysis ◽  
Uterine Perforation ◽  
Ex Vivo Model ◽  
Single Observation ◽  
Academic Center ◽  
Device Placement

Abstract Background This biomechanical analysis of hysterectomy specimens assesses the forces associated with intrauterine device placement. These include compressive forces required to cause uterine perforation with two commonly available commercial intrauterine device placement instruments and a metal uterine sound. Methods We obtained hysterectomy specimens at a single academic center. All specimens resulted from excision for benign conditions in premenopausal women by any operative method. Within one hour of excision, we stabilized uterine specimens in an apparatus specifically designed for this analysis. A single, experienced clinician performed all experimental maneuvers and measured forces with a Wagner FDIX-25 force gauge. The investigator applied traction on a tenaculum to approximate force used during an intrauterine device placement. The maximum compressive force to the uterine fundus was determined by using manufacturers’ placement instruments for two commercially available products and a metal sound. Results Sixteen individuals provided hysterectomy specimens. No complete perforations occurred while using loaded intrauterine devices; in a single observation the LNG IUS entered the myometrium. The plastic intrauterine device placement rod bowed in all attempts and did not perforate the uterine serosa at the fundus. A metal uterine sound created a complete perforation in all specimens (p < .001). The lowest mean maximum force generated occurred with the levonorgestrel intrauterine system placement instrument 12.3 N (SD ± 3.8 N), followed by the copper T380A intrauterine device placement instrument 14.1 N (SD ± 4.0 N), and highest for the metal sound 17.9 N (SD ± 7.6 N) (p < 0.01). Conclusions In this ex-vivo model, metal uterine sounds caused complete perforation and intrauterine device placement instruments did not. This study received Institutional Review Board (IRB0059096) approval.

scholarly journals Implementation of a training protocol on intrauterine device insertion for resident physicians

2021 ◽  
Vol 10 (5) ◽  
pp. e5210514794
Author(s):  
Sérgio Henrique Pires Okano ◽  
Bruna Maria Bonatti da Silva Felipe ◽  
Giordana Campos Braga
Keyword(s):  
Care Setting ◽  
Primary Care Setting ◽  
Intrauterine Device ◽  
Progressive Increase ◽  
Uterine Perforation ◽  
Resident Physicians ◽  
Gynecology And Obstetrics ◽  
Poor Access ◽  
Local Number ◽  
Training Protocol

Objective: To implement a training protocol on intrauterine device (IUD) insertion for resident physicians to improve women’s access to this method. Methods: The staff identified poor access to family planning, in Vila Lobato health center, specially to IUD, there were only 15 IUD insertions in 2015. This implementation research evaluated and identified the barriers of access to IUD use. Then, stakeholders and staff defined the access flow of patients to the health unit and, eventually, the training provided to resident physicians in gynecology and obstetrics (GO) and family medicine (FM). This is a retrospective cohort of the IUD insertions performed by residents between 2016 and 2018.  Results : 252 copper IUDs were inserted from 2016 to 2018 and there was a progressive increase in the number of insertions (45 in 2016, 80 in 2017, and 126 in 2018). Thirty-four (16.4%) inadequate insertions and 15 (8.6%) expulsions were observed. There was no case of uterine perforation. Conclusion:  The implementation of the protocol on IUD insertion for residents in the primary care setting increased the local number of IUD insertion and might be a strategy to improve the access to the contraceptive method. 

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