| Summary: | Intrauterine devices (IUD) are one of the most common contraceptive methods
worldwide. Although adverse events from their use are low, their insertion can cause
some complications. Intraperitoneal migration of IUD after transuterine perforation
remains one of the most serious events due to the risks of injury to intraperitoneal
organs and secondary complications. Although the clinical diagnosis of such a
scenario must be recognized in time, it is not always obvious. In most cases, patients
do not express any symptoms. “Missing strings” of the IUD in any patient using this
type of contraceptive is generally the first warning sign and further investigation is
necessary to locate them. When intraperitoneal migration is diagnosed. It should be
kept in mind that most devices can and should be removed even if they are
asymptomatic. In this observation we report the case of a 31year old patient, who
consulted an emergency department for pelvic pain and tenderness of the left iliac
fossa in the days following insertion of an IUD. Following clinical and ultrasound
examination, the diagnosis of intraperitoneal migration of the IUD was accepted and
the device removed by laparoscopic approach.
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