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Retrieval of lost Copper-T from the rectum
N Banerjee1, A Kriplani, K K Roy
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi.
Summary
A misplaced Copper-T (intrauterine contraceptive device) was safely removed via the rectal route. This case highlights the importance of rectal examination for lost IUCDs and demonstrates the feasibility of rectal retrieval.
Area of Science:
- Gynecology
- Gastroenterology
- Surgical Procedures
Background:
- Intrauterine contraceptive devices (IUCDs) are widely used for long-term birth control.
- Lost or migrated IUCDs can present diagnostic and management challenges.
- Rectal perforation is a rare but serious complication of IUCDs.
Observation:
- A Copper-T device was found to have migrated, with a portion extending into the rectal lumen.
- The device was partially embedded in the rectal wall.
Findings:
- Successful retrieval of the Copper-T was achieved through a rectal approach.
- The rectal route proved to be a safe and effective method for removal in this case.
Implications:
- Rectal examination should be considered in cases of suspected lost or migrated IUCDs.
- Rectal retrieval of an embedded IUCD is a viable option, even in complex cases.
- This case expands the understanding of IUCD migration management and surgical options.