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[Intrauterine device appendicitis: an exceptional complication]
F Cuillier1, S Ben Ghalem, Y Haffaf
1Service de Gynécologie-Obstétrique, Hôpital Félix-Guyon, Saint-Denis, Ile de la Réunion. fabrice.cuillier@wanadoo.fr
Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|February 20, 2003
Summary
Intrauterine contraceptive devices (IUDs) can migrate to the appendix, mimicking appendicitis. Surgical removal is recommended to prevent complications like bowel obstruction.
Area of Science:
- Gynecology
- Gastroenterology
- Surgical Case Reports
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- Rarely, IUDs can perforate the uterus and migrate to other organs.
- Appendicular migration is an exceptionally uncommon complication.
Observation:
- A patient presented with symptoms suggestive of appendicitis.
- Transvaginal ultrasonography revealed an IUD outside the uterus, near the small bowel.
- The IUD was partially embedded within the appendix.
Findings:
- Surgical exploration confirmed the IUD's presence in the appendix.
- The device was successfully removed using laparoscopy and laparotomy.
- Literature review identified very few similar reported cases.
Implications:
- Appendicular IUD migration is a rare but serious condition.
- Prompt diagnosis and surgical intervention are crucial.
- Removal prevents potential inflammatory reactions, bowel obstruction, and perforation.