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Case Reports
. 2017 Sep 27:2017:bcr2017221342.
doi: 10.1136/bcr-2017-221342.

Laparoscopic removal of migrated intrauterine device

Ariel P Santos  1 , Cate Wetzel  2 , Zia Siddiqui  2 , David Shane Harper  2
Affiliations
Case Reports

Laparoscopic removal of migrated intrauterine device

Ariel P Santos et al. BMJ Case Rep. .

Abstract

Intrauterine device (IUD) is a popular long-acting reversible contraceptive device with an estimated rate of use of about 5.3%. It is highly effective but not without complications, one of which is uterine perforation. The patient was a 32-year-old female who presented with nausea, vomiting and right upper quadrant abdominal pain that was tender on palpation. CT scan was performed and they found signs of acute calculous cholecystitis with incidental finding of a migrated IUD in the left lateral mid-abdomen within the peritoneal cavity. She underwent a laparoscopic cholecystectomy followed by a successful IUD retrieval. Most uterine perforations occur at the time of insertion; however, partial perforation with subsequent delayed complete perforation may also occur. This case emphasises the importance of a full workup for a missing IUD and that, if incidentally found, IUDs can be removed safely laparoscopically in conjunction with another procedure.

Keywords: general surgery; sexual health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CT scout imaging of the intrauterine device and the retrieved intrauterine device.
Figure 2
Figure 2
Laparoscopic images showing dissection of the IUD from the omentum and successful retrieval.
See this image and copyright information in PMC

References

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