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Related Experiment Videos

Intrauterine contraceptive device appendicitis: a case report.

Hao-Ming Chang1, Teng-Wei Chen, Chung-Bao Hsieh

  • 1Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan 325, Sec 2, Cheng-Kung Road, Taipei, Taiwan, China.

World Journal of Gastroenterology
|September 9, 2005
PubMed
Summary

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Intrauterine contraceptive device (IUD) use can lead to uterine perforation, a rare complication. This case details an IUD causing acute appendicitis, highlighting potential organ involvement.

Area of Science:

  • Gynecology
  • Surgical Complications
  • Gastroenterology

Background:

  • Intrauterine devices (IUDs) are common contraceptives.
  • Uterine perforation is a known, though infrequent, complication of IUD insertion.
  • Perforation can extend to adjacent abdominal organs.

Observation:

  • A patient presented with symptoms of acute appendicitis.
  • A history of Multiload Cu 375 IUD insertion was noted.
  • The IUD was implicated as the cause of the appendicitis.

Findings:

  • This represents a rare instance of IUD-induced uterine perforation leading to secondary appendicitis.
  • Only fourteen similar cases have been documented in medical literature previously.
  • The Multiload Cu 375 IUD was found to have migrated and caused inflammation of the appendix.

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Implications:

  • Highlights the importance of considering IUD complications in differential diagnoses.
  • Underscores the potential for IUDs to cause unexpected gastrointestinal issues.
  • Suggests the need for vigilance in monitoring patients with IUDs, especially those with unusual symptoms.