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Intraperitoneally Retained Contraceptive Device After Uterine Perforation: A Case Report
Hanan S Al-Khatlan1, Aliaa M Al-Tuhoo1, Mohannad Abu-Faza1
1Department of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait Oil Company (KOC), Ahmadi, Kuwait.
Journal of Mother and Child
|July 6, 2023
Summary
A missing intrauterine device (IUD) was located using CT scan, superior to X-ray and ultrasound. Laparoscopy successfully removed the IUD adhered to the omentum and bladder.
Area of Science:
- Reproductive Medicine
- Medical Imaging
- Minimally Invasive Surgery
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- Perforation and migration of IUDs are rare but serious complications.
- Accurate localization is crucial for safe removal.
Observation:
- A 29-year-old woman presented with a missing T-shaped copper IUD 8 months post-insertion.
- Computed tomography (CT) with contrast was used for localization.
- The IUD was located outside the uterus, between the bladder and uterus.
Findings:
- CT scan demonstrated superior detail of the extrauterine IUD location compared to X-ray and ultrasound.
- Laparoscopy allowed for atraumatic freeing of the IUD.
- The IUD was successfully removed after detaching it from omental and bladder adhesions.
Implications:
- CT imaging is highly effective for diagnosing and localizing migrated IUDs.
- Laparoscopic surgery offers a minimally invasive approach for complex IUD removals.
- This case highlights the importance of advanced imaging and surgical techniques in managing IUD complications.
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