Intraperitoneal migration of an intrauterine device.

• Published in: Batna Journal of Medical Sciences
• Main Authors: Nabila FEGHOUL, Zakaria Seoudi, Mourad Derguini, Hafida Bendaoud
• Format: Article
• Language: Arabic
• Published: Algerian Society of Clinical & Oncological Pharmacy 2024-03-01
• Subjects: intrauterine contraceptive device; complications intrauterine device; migration; intraperitoneal; laparoscopy
• Online Access: https://batnajms.net/wp-content/uploads/Archives/2024/1/BJMS_Feghoul.pdf

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.