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Fluoroscopy-Guided Localization and Retrieval of a Migrated Extrapelvic Intrauterine Device: A Case Report
Mohammad Haekal1, Caroline Gladys Puspita1, Tiara Sirinding Mangiwa1
1Department of Obstetric and Gynecology, Harapan Kita National Women and Children Health Centre, Jakarta, Indonesia.
Case Reports in Obstetrics and Gynecology
|August 13, 2026
Summary
Laparoscopy and fluoroscopy aid in diagnosing and removing displaced intrauterine devices (IUDs) that migrate outside the uterus. This minimally invasive approach improves accuracy and reduces surgical complications.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Diagnostic Imaging
Background:
- Intrauterine devices (IUDs) are a common and effective contraceptive method.
- Uterine perforation is a rare but serious complication of IUD insertion.
- Occult extrauterine migration of an IUD requires prompt diagnosis and management.
Purpose of the Study:
- To highlight the diagnostic and therapeutic utility of laparoscopy for extrauterine IUD migration.
- To emphasize the role of fluoroscopy in guiding IUD retrieval.
- To present a case of successful minimally invasive management of a migrated IUD.
Main Methods:
- A case report of a 25-year-old woman with abdominal pain post-IUD insertion.
- Diagnostic workup included physical examination, transvaginal ultrasonography, and abdominal X-ray with uterine markers.
- Treatment involved fluoroscopy-assisted laparoscopic retrieval of the extrauterine IUD.
Main Results:
- Transvaginal ultrasonography did not reveal a myometrial defect.
- Abdominal X-ray confirmed extrapelvic IUD migration.
- Laparoscopic retrieval was successful, revealing uterine scarring and omental adhesions.
Conclusions:
- Clinical suspicion and a structured imaging approach are crucial for diagnosing IUD migration.
- Abdominal radiography with uterine markers is valuable when pelvic ultrasound is inconclusive.
- Fluoroscopic guidance enhances localization and facilitates safe, minimally invasive retrieval, minimizing surgical morbidity.