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Case Reports
. 2022 Sep 29;14(9):e29748.
doi: 10.7759/cureus.29748. eCollection 2022 Sep.

Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report

Khalid Y Alharbi  1   2 , Hossein A Filimban  1   2 , Salman W Bafageeh  1   2 , Aqeel S Binaqeel  1   2 , Majed A Bayzid  1   2 , Nabeel M Brasha  3   4   5
Affiliations
Case Reports

Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report

Khalid Y Alharbi et al. Cureus. .

Abstract

We aim to present a rare case of a missing intrauterine contraceptive device (IUCD) that was found in the terminal ileum by laparoscopy and was managed initially by laparoscopy and then proceeded to laparotomy. A 29-year-old female who had a copper IUCD inserted by a senior gynecologist presented to the clinic with pelvic pain and discomfort. She underwent laparoscopy for IUCD removal. Intraoperatively, the IUCD was discovered to be embedded in the terminal ileum, and therefore, laparoscopy was converted to an open laparotomy. The patient was readmitted multiple times because of abnormal fluid collection in the pelvic region, which was resolved finally by pigtail insertion. This case sheds a light on the possibility of complications occurring in the medical field even if the practitioner is a senior gynecologist. Furthermore, missed IUCDs require thorough investigation and imaging to make an appropriate management plan to avoid serious complications.

Keywords: copper intrauterine device; intrauterine contraceptive device; migration; perforation; terminal ileum.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Intrauterine device in the right lower pelvic region
Figure 2
Figure 2. CT coronal view demonstrating a pelvic collection measuring 11.7×6.7×11.1 cm (red arrow)
CT: computed tomography
Figure 3
Figure 3. CT coronal view illustrating a marked decrease in the size of the previous collection
CT: computed tomography
See this image and copyright information in PMC

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