[Adhesion lysis and removal of an intraperitoneal contraceptive device by celioscopy]

The intra-peritoneal location of an I.U.D. immediately after its insertion is not an unusual situation. In the context of a case of immediate migration followed by intra-uterine pregnancy, which was dealt with by diagnostic coelio-surgery and therapeutic coelio-surgery, we suggest a diagnostic and therapeutic sequence. The incidence of uterine perforation decreases with the experience of the operator. The diagnosis is clinical, ultrasonic, radiological and coelioscopic. Coelioscopic diagnosis makes it possible to choose the method of treatment. Coeliosurgery is feasible in virtually all cases. In experienced hands, this method is rapid, the hospitalization required short and the sequelae simple.