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Case Reports
. 2013 Sep 26;2013(9):rjt072.
doi: 10.1093/jscr/rjt072.

Surgical options for the retrieval of a migrated intrauterine contraceptive device

Venkatesh Subramanian  1 , Pandelis Athanasias  2 , Shreelata Datta  2 , Aziz Anjum  3 , Carolyn Croucher  2
Affiliations
Case Reports

Surgical options for the retrieval of a migrated intrauterine contraceptive device

Venkatesh Subramanian et al. J Surg Case Rep. .

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.

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Figures

Figure 1:
Figure 1:
Hysteroscopy showing a normal endometrial cavity, no evidence of IUCD or site of perforation.
Figure 2:
Figure 2:
Laparoscopy showing normal IUCD threads deep inside the Pouch of Douglas inside the sigmoid colon.
Figure 3:
Figure 3:
Laparoscopy showing a sigmoid colon post-repair after removal of coil.
See this image and copyright information in PMC

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