Related Experiment Video
Updated: Aug 5, 2026
04:22
Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
Silent Migration for Three Decades, Intravesical and Sigmoid Colon Perforation by a Forgotten IUCD: A Rare Case
Ayesha Ahmad1, Iftikhar Khan2, Muhammad Hassaan Javaid3
1Khyber Medical University Peshawar Pakistan.
Clinical Case Reports
|July 27, 2026
Summary
Intrauterine contraceptive device (IUCD) migration can lead to severe complications years after insertion. Regular monitoring, imaging, and patient education are vital for early detection and management to ensure patient safety.
Area of Science:
- Reproductive Health
- Medical Device Safety
- Surgical Complications
Background:
- Intrauterine contraceptive devices (IUCDs) are widely used for long-term reversible contraception.
- Delayed complications, such as migration and perforation, can occur years after IUCD insertion.
- These complications pose significant risks to patient health and require prompt medical attention.
Purpose of the Study:
- To highlight the potential for delayed IUCD migration.
- To emphasize the severe complications associated with IUCD migration, including bladder and sigmoid perforation.
- To stress the importance of ongoing surveillance and management strategies for IUCDs.
Main Methods:
- Review of clinical cases and literature concerning IUCD migration.
- Analysis of diagnostic imaging modalities for detecting IUCD displacement.
- Discussion of multidisciplinary approaches to managing IUCD-related complications.
Main Results:
- IUCD migration can manifest with severe complications, such as bladder and sigmoid perforation.
- These complications may arise even decades after the initial IUCD insertion.
- Timely diagnosis and intervention are crucial to mitigate adverse outcomes.
Conclusions:
- Regular follow-up and patient education are essential for the safe use of IUCDs.
- Prompt diagnostic imaging aids in the early detection of IUCD migration.
- Multidisciplinary management is key to preventing long-term adverse effects and ensuring patient safety in reproductive health care.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:27Diverticular Disease of the Colon
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
01:29Intestinal Obstruction I: Introduction
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
01:17Chronic Bowel Disorders: Introduction
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
01:21Intrauterine Drug Delivery Systems
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...