Laparoscopic removal of migrated IUCD from small intestine in a lactating female patient

Authors

  • Sushmita Kamboj Department of Obstetrics and Gynaecology, LLRM Medical College, Meerut, Uttar Pradesh, India
  • Rachna Chaudhary Department of Obstetrics and Gynaecology, LLRM Medical College, Meerut, Uttar Pradesh, India
  • Komal Rastogi Department of Obstetrics and Gynaecology, LLRM Medical College, Meerut, Uttar Pradesh, India
  • Dheeraj Raj Department of Obstetrics and Gynaecology, LLRM Medical College, Meerut, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241450

Keywords:

IUCD, Migrated intrauterine device, Uterine perforation

Abstract

Uterine perforation is an uncommon complication of intrauterine device insertion, with an incidence of one in 1,000 insertions. Perforation may be complete, with the device totally in the abdominal cavity, or partial, with the device to varying degrees within the uterine wall. Some studies show a positive association between lactation and perforation, but a causal relationship has not been established. Very rarely, a device may perforate into bowel or the urinary tract. Perforated intrauterine devices can generally be removed successfully at laparoscopy.

References

Richter R. A means of preventing conception. Deutsch Med Wochenschr. 1909;35:1525.

Gräfenberg E. Die intrauterine methode der konzeptionverhütung. In: Haire N, editor. Proceedings of the Third World League for Sexual Reform Congress, London 1929. London, UK: Kegan Paul, Trench, Turner and Company; 1929:166-75.

Mok D. Long-term reversible contraception. Twelve years of experience with the TCu380A and TCu220C. Contraception. 1997;56(6):341-52.

Trends in Contraceptive Use Worldwide 2015. Available at: http://www.un.org/en/development/desa/ population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf. Accessed on 20 November 2023.

Boortz HE, Margolis DJ, Ragavendra N. Migration of intrauterine devices: radiologic findings and implications for patient care. Radiographics. 2012;32: 335-52.

Gill RS, Mok D, Hudson M. Laparoscopic removal of an intra-abdominal intrauterine device: case and systematic review. Contraception. 2012;85:15-8.

Turok DK, Gurtcheff SE, Gibson K. Operative management of intrauterine device complications: a case series report. Contraception. 2010;82:354-7.

Chi IC, Potts M, Wilkens LR, Champion CB. Performance of the copper T-380A intrauterine device in breastfeeding women. Contraception. 1989;39:603-18.

Andersson K, Ryde-Blomqvist E, Lindell K, Odlind V, Milsom I. Perforations with intrauterine devices. Contraception. 1998;57:251-5.

Ledger WJ, Willson R. Intrauterine contraceptive devices: the recognition and management of uterine perforations. Obstet Gynecol. 1966;28:806-11.

Bromham DR. Intrauterine contraceptive devices a reappraisal. Br Med Bull. 1993;49:100-23.

Markovitch O, Klein Z, Gidoni Y, Holzinger M, Beyth Y. Extrauterine mislocated IUD: is surgical removal mandatory? Contraception. 2002;66(2):105-8.

Zakin D, Stern WZ, Rosenblatt R. Complete and partial uterine perforation and embedding following insertion of intrauterine devices. II. Diagnostic methods, prevention, and management. Obstet Gynecol Surv. 1981;36(8):401-17.

Rahnemai-Azar AA, Apfel T, Naghshizadian R. Laparoscopic removal of migrated intrauterine device embedded in intestine. JSLS. 2014;18:e20.

Ratnam SS, Tow SH. Translocation of the loop. In: Zatuchni GI, editor. Post-partum Family Planning: A Report on the International Program. New York, NY: McGraw-Hill; 1970: 371-84.

Harrison-Woolrych M, Ashton J, Coulter D. Uterine perforation on intrauterine device insertion: is the incidence higher than previously reported? Contraception. 2003;67:53-6.

Heinemann K, Reed S, Moehner S, Minh TD. Risk of uterine perforation with levonorgestrel-releasing and copper intrauterine devices in the European Active Surveillance Study on Intrauterine Devices. Contraception. 2015;91:274-9.

Caliskan E, Özturk N, Dilbaz BÖ, Dilbaz S. Analysis of risk factors associated with uterine perforation by intrauterine devices. Eur J Contracept Reprod Health Care. 2003;8:150-5.

Rahnemai-Azar AA, Apfel T, Naghshizadian R. Laparoscopic removal of migrated intrauterine device embedded in intestine. JSLS. 2014;18:e2014.

Mosley FR, Shahi N, Kurer MA. Elective surgical removal of migrated intrauterine contraceptive devices from within the peritoneal cavity: a comparison between open and laparoscopic removal. JSLS. 2012;16(2):236-41.

Macfarlan SM. Perforation of the postpartum uterus with an intrauterine contraceptive device. Am J Obstet Gynecol. 1966;94:283-4.

Heartwell SF, Schlesselman S. Risk of uterine perforation among users of intrauterine devices. Obstet Gynecol. 1983;61:31-6.

Downloads

Published

2024-05-29

Issue

Section

Case Reports