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. 2016:28:68-70.
doi: 10.1016/j.ijscr.2016.09.030. Epub 2016 Sep 23.

Migration of an intrauterine device to the left inguinal region, the first reported case

Ismaeel Aghaways  1 , Saman Anwer Wahid  2 , Rawa Hama Ghareeb Ali  3 , Falah Sabir  2 , Fahmi Hussein Kakamad  4
Affiliations

Migration of an intrauterine device to the left inguinal region, the first reported case

Ismaeel Aghaways et al. Int J Surg Case Rep. 2016.

Abstract

Introduction: A large number of complications are reported with the use of IUD. Migration to inguinal region has not been mentioned in literature. We report a rare case of migrated IUD to inguinal canal.

Case report: A 25-year-old lady presented with a painfull mass in the left inguinal region. Diagnostic work up showed migrated IUD to inguinal region. Operation was done and the impacted IUD with surrounding granuloma was retrieved.

Discussion: When the string of the IUD is no longer visible at the external os of the cervix, radiological scan must be performed, this should begin with a sonographic examination and plain abdominal radiography may be used to localize the IUD.

Conclusion: IUD Migration may occur to unusual area and perforation can be misdiagnosed as non-witnessed expulsion.

Keywords: Inguinal canal; Intrauterine device; Migration; Perforation.

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Figures

Fig. 1
Fig. 1
Abdomino-pelvic contrast enhanced computed tomography showing a cystic mass with the IUD (arrowed) in the extraperitoneal fat at the left side of the pelvis.
Fig. 2
Fig. 2
Isolation of the round ligament and the mass.
Fig. 3
Fig. 3
The IUD string and main stalk are visible.
Fig. 4
Fig. 4
the mass totally excised with IUD inside.
See this image and copyright information in PMC

References

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