Intrauterine device migration resulting in acute appendicitis: A case report.

Area of Science:

• Reproductive Medicine
• Surgical Gynecology
• Gastrointestinal Surgery

Background:

• Intrauterine Contraceptive Devices (IUDs) are highly effective contraceptives but can cause complications.
• Perforation and migration of IUDs into the peritoneal cavity are rare but serious events.
• Delayed diagnosis of IUD migration can lead to significant morbidity.

Observation:

• A 33-year-old woman presented with pelvic pain 16 months after IUD insertion.
• Computed tomography confirmed intraperitoneal IUD migration with the device embedded in the appendix.
• The patient underwent successful laparoscopic IUD extraction and appendectomy.

Findings:

• IUD migration into the peritoneal cavity is a complex complication.
• This case demonstrates a rare association between IUD migration and acute appendicitis.
• Laparoscopic surgery is an effective approach for managing migrated IUDs.

Implications:

• Healthcare providers must maintain a high index of suspicion for IUD complications in patients with abdominal pain.
• Vigilant monitoring and prompt diagnostic imaging are crucial for detecting IUD migration.
• Timely surgical intervention is essential for managing migrated IUDs and preventing further complications.