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Case Reports
. 2023 Aug:109:108635.
doi: 10.1016/j.ijscr.2023.108635. Epub 2023 Aug 6.

Open surgical retrieval of intra-uterine contraceptive device perforating the ileum: A case report

Abdullah Almatary  1 , Afaf Alsharif  2 , Saif Ghabisha  3 , Faisal Ahmed  4 , Mohamed Badheeb  5
Affiliations
Case Reports

Open surgical retrieval of intra-uterine contraceptive device perforating the ileum: A case report

Abdullah Almatary et al. Int J Surg Case Rep. 2023 Aug.

Abstract

Introduction and importance: Intra-uterine contraceptive devices (IUCDs) are globally acknowledged for their high utilization and tolerability as contraceptive techniques. However, the uncommon but critical complication of IUCD perforation and migration into the gastrointestinal (GI) system necessitates careful consideration.

Case presentation: We present a case of IUCD migration culminating in ileal perforation in a 30-year-old female. The patient, with a history of IUCD insertion four years prior, manifested persistent abdominal discomfort lasting for a period of six months. Computed tomography (CT) scans of the abdomen disclosed the presence of an extraneous object perforating the uterine wall and penetrating the ileum. Surgical intervention substantiated the diagnosis, encompassing the removal of the IUCD and subsequent suturing to amend the bowel wall defect. The patient's post-operative recovery proceeded without additional complications.

Clinical discussion: Migration and GI perforation of the IUCD are uncommon complications, and require immediate attention and proper management. When there is a suspicion of a missing IUCD, obtaining radiologic confirmation and timely removal is crucial.

Conclusion: In females of reproductive age, persistent abdominopelvic pain warrants an evaluation of their IUCD placement history and a thorough examination. If the IUCD string is not visible, further radiological investigation is mandated. Any delay in diagnosis and the ensuing treatment may lead to significant, potentially catastrophic, organ damage.

Keywords: Case report; Complications; Ileum; Intra-uterine contraceptive device; Perforation.

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Conflict of interest statement

Declaration of competing interest None of the authors have any conflict of interest to declare.

Figures

Fig. 1
Fig. 1
Plain radiography showing the IUD in the pelvis (arrow).
Fig. 2
Fig. 2
Intraoperative photo showing the penetrated ileal segment and IUCD device.
Fig. 3
Fig. 3
Intraoperative photo showing the IUCD removal.
See this image and copyright information in PMC

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References

    1. Rowlands S., Oloto E., Horwell D.H. Intrauterine devices and risk of uterine perforation: current perspectives. Open Access J. Contracept. 2016;7:19–32. - PMC - PubMed
    1. Koh A.S. Neglected intrauterine device migration complications: case reports. Womens Health Rep. (New Rochelle) 2023;4:11–18. - PMC - PubMed
    1. Arslan A., Kanat-Pektas M., Yesilyurt H., Bilge U. Colon penetration by a copper intrauterine device: a case report with literature review. Arch. Gynecol. Obstet. 2009;279:395–397. - PubMed
    1. Alharbi K.Y., Filimban H.A., Bafageeh S.W., Binaqeel A.S., Bayzid M.A., Brasha N.M. Removal of a migrated intrauterine contraceptive device perforating the terminal ileum: a case report. Cureus. 2022;14 - PMC - PubMed
    1. Agha R.A., Franchi T., Sohrabi C., Mathew G., Kerwan A. The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines. Int. J. Surg. 2020;84:226–230. - PubMed

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