scholarly journals Intrauterine Contraceptive Device Complication: Migration to the Small Bowl and Ovary Concurrently

Author(s):  
Mohammad Reza Sasani ◽  
Amir Hossein Soltani

Intrauterine Contraceptive Device (IUD) is a useful and reversible contraceptive method. This method has potential complications. Uterine perforation and IUD migration is rare but is a serious complication. Migrated IUD could situate in different organs such as bowel loop, urinary bladder, fallopian tube, or ovary. However, the presence of a displaced IUD simultaneously in the two organs is a rare event. Ultrasonography is an appropriate and initial method for evaluating the IUD location. Abdominopelvic x-ray, computed tomography, and MRI are adjunctive imaging modalities. We present a case with migrated IUD, which was located in the right ovary and small intestine simultaneously.

2021 ◽  
Vol 2 (1) ◽  
pp. 35-37
Author(s):  
Suleiman Ghunaim

The intrauterine contraceptive device is the second most popular form of contraception worldwide. Uterine perforations may rarely complicate intrauterine contraceptive device use and are believed to occur mostly at the time of insertion. In the majority of cases, perforations are not recognized by the operator and remain asymptomatic. In rare instances however, severe delayed complications involving adjacent organs may ensue. We report an unusual case of uterine perforation with bowel injury diagnosed two years after the insertion of a copper intrauterine contraceptive device. We aim to address the use of transvaginal sonography to confirm proper intrauterine contraceptive device placement following a technically challenging insertion, clinical surveillance, and prompt removal of an intraperitoneal intrauterine contraceptive deviceto prevent potential serious complications, such as bowel embedment. Keywords: Bleeding; Bowel injury; Contraception; Intrauterine contraceptive device; Uterine perforations. Abbreviations IUD: intrauterine contraceptive device; G2P2: Gravidity 2 Parity 2


Author(s):  
Pallipuram S. Bhageerathy ◽  
Scott A. Singh ◽  
Manjula Dhinakar ◽  
Jose M. Lukose

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.


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Adewale Erioluwa Oguntoyinbo ◽  
Ifetoluwani Oluwadunsin Oguntoyinbo ◽  
Oluwabunmi Esther Oguntoyinbo ◽  
Issa Aremu Babatunde

Ectopic location of Intrauterine Contraceptive Device (IUCD) or its migration from the normal position in the uterine fundus is a frequently encountered complication. It varies from uterine expulsion to displacement into the endometrial canal to uterine perforation or intravesical migration, which is an extremely rare case. Ultrasonography was used in the diagnoses of this reported case of an ectopic intravesical IUCD.


2014 ◽  
Vol 3 (1) ◽  
pp. 38-40
Author(s):  
Anu Bajracharya ◽  
Rachana Shah

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


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