DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20184444

Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

Pallipuram S. Bhageerathy, Scott A. Singh, Manjula Dhinakar, Jose M. Lukose

Abstract


Uterine perforation followed by transmigration of intrauterine contraceptive device to the abdominal cavity is one of the rarest, but most dangerous complication of Copper T. These displaced Copper containing devices can cause chronic inflammatory reaction leading to adhesions, intestinal obstruction and even bowel perforation. Hence removal of these devices once found outside the uterus is recommended. Traditionally, a laparotomy used to be performed owing to the associated inflammation, adhesions and the risks of bowel injury. Laparoscopic removal of these displaced devices is a minimally invasive surgical approach with good results in skilled hands. Authors reported a rare case of misplaced transmigrated intrauterine contraceptive device in a 43-year-old asymptomatic lady. The Copper T had migrated after silent perforation of the uterus and was impacted in the greater omentum. There was evidence of chronic inflammation and small pockets of pus surrounding it. There were flimsy bowel adhesions. The dislodged device was successfully removed laparoscopically along with partial omentectomy without any complications. Regular follow up of patients who have had Copper T insertions and teaching them to feel the thread and report if not felt is essential to diagnose complications early. A transmigrated intrauterine device can be successfully removed laparoscopically.


Keywords


Copper IUCD, Misplaced, Laparoscopy

Full Text:

PDF

References


Sharma A, Andankar M, Pathak H. Intravesical migration of an intrauterine contraceptive device with secondary calculus formation. Korean J Fam Med. 2017;38:163-65.

Krasniqi S, Ahmeti E, Hoxha SA, Ymeri H, Shaqiri I, Kastrati-Spahija NB, et al. Simultaneous laparoscopic cholecystectomy and removal of an intrauterine device translocated to the right subdiaphragmal region: a case report. Cases J. 2009 Dec;2(1):6198.

Miranda L, Settembre A, Capasso PE, Cuccurullo D, Pisaniello D, Corcione F. Laparoscopic removal of an intraperitoneal translocated intrauterine contraceptive device. Euro J Contracep Repro Heal Care. 2003 Jan 1;8(2):122-5.

Otolorin EO. Management of lost IUCD. African J Med Med Sci. 1985;14:125-9.

Bitterman A, Lefel O, Segev Y, Lavie O. Laparoscopic removal of an intrauterine device following colon perforation. JSLS. 2010;14:456-58.

Theiry M. Pioneers of the intrauterine device. Euro J Contracep Repro Heal Care. 1997;2:15-23.

Johri V, Vyas KC. Misplaced intrauterine contraceptive devices. JCDR. 2013;7:905-7.

Wani I, Syed A, Maqbool M, Bakshi I, Bhat H, Andrabi FU, Mohsin N. Intrauterine Contraceptive Device Migration Presenting as Abdominal Wall Swelling: A Case Report. Case reports in surgery. 2011:305914.

Mishra S. Translocation of Postplacental Intrauterine Device: A Rare Complication. JOGI. 2016 Oct 1;66(2):707-9.

Mosley FR, Shahi N, Kurer MA. Elective surgical removal of migrated intrauterine contraceptive devices from within the peritoneal cavity: A comparison between open and laparoscopic removal. JSLS. 2012;16:236-41.

Aydoddu O, Pulat H. Asymptomatic far migration of an intrauterine device into the abdominal cavity: A rare entity. Can Urol Assoc J. 2012;6:134-6.