Intra Peritoneal Migration of an Intrauterine Device: A Case Report
Abdessamad MAJD
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Hamza EL KHOU *
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Abdelhak ETTAOUSSI
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Khadija KAMAL
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Mounir BOUALI
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Abdelilah EL BAKOURI
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
Khalid EL HATTABI
General Surgery Department, IBN ROCHD University Hospital of Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Intrauterine devices are effective and reversible contraception methods, migration is rare complication described in this case report
Presentation of the Case: our patient is a 31 year old female, with history of surgery for small bowel obstruction 8 years ago, and placement of IUD 5 years ago. She presented symptoms of bowel obstruction, with tenderness of right lower quadrant. An emergency CT scan showed small bowel obstruction with a foreign object in the lower right quadrant of the abdomen.
The patient was operated urgently and a IUD was found in the peritoneum next to the caecum, the post operative course was uneventful and the patient discharged two days later.
Discussion: Migrating IUD is a rare complication although it is described in literature, it may occur during the insertion by an unnoticed perforation, or progressive transmural migration, it may be asymptomatic for a long time but once the migration is discovered it has to be extracted.
Conclusion: IUD is an effective, safe and reversible contraception method, the complications of which should be known by practitioners for an effective follow up.
Keywords: Intrauterine device, acute abdomen, Case Report, migration