The role of multimodality radiological imaging in extrauterine misplaced IUCD: A case report

Augustina Badu-Peprah, Theophilus K. Adu-Bredu, Charles Adu-Takyi

Abstract

Intrauterine contraceptive device (IUCD) is among the commonly used contraceptive methods in the world including sub-Saharan Africa but have been associated with a number of complications that although rare, can occur. Uterine perforation is the most serious complication of the IUCD. Surgical management is required in cases with complete uterine perforation, in which the IUCD is partially or completely within the peritoneal cavity. We present a case of a 27year old para 2 woman reporting with mild lower abdominal pains and the absence of IUCD string in the vagina after its insertion following evacuation of the uterus 2 years prior to this study. With the utilization of multiple imaging modalities, an exploratory laparotomy was done to remove the migrated IUCD and repair of the perforated bowel and urinary bladder. (Afr J Reprod Health 2020; 24[4]: 213-217).

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References

Tsui AO, Brown W and Li Q. Contraceptive Practice in

Sub-Saharan Africa. Popul Dev Rev. 2017 May;43(Suppl Suppl 1):166–91.

Mederos R, Humaran L and Minervini D. Surgical

removal of an intrauterine device perforating the sigmoid colon: A case report. Int J Surg. 2008 Dec 1;6(6):e60–2.

Ohana E, Sheiner E, Leron E and Mazor M. Appendix

perforation by an intrauterine contraceptive device. Eur J Obstet Gynecol Reprod Biol. 2000 Feb 1;88(2):129–31.

Harrison-Woolrych M, Ashton J and Coulter D. Uterine

perforation on intrauterine device insertion: is the incidence higher than previously reported? Contraception. 2003 Jan 1;67(1):53–6.

Boortz HE, Margolis DJA, Ragavendra N, Patel MK and

Kadell BM. Migration of intrauterine devices: radiologic findings and implications for patient care. Radiogr Rev Publ Radiol Soc N Am Inc. 2012 Apr;32(2):335–52.

Andersson K, Ryde-Blomqvist E, Lindell K, Odlind V

and Milsom I. Perforations with intrauterine devices: Report from a Swedish survey. Contraception. 1998 Apr 1;57(4):251–5.

Rowlands S, Oloto E and Horwell DH. Intrauterine

devices and risk of uterine perforation: current perspectives. Open Access J Contracept. 2016 Mar 16;7:19–32.

Carson SA, Gatlin A and Mazur M. Appendiceal

perforation by Copper-7 intrauterine contraceptive device. Am J Obstet Gynecol. 1981 Jan 1;141(6):586–7.

Madden A, Aslam A and Nusrat NB. A Case of

Migrating “Saf-T-Coil” Presenting with a Vesicovaginal Fistula and Vesicovaginal Calculus. Urol Case Rep. 2016 Jul 1;7:17–9.

Gyasi-Sarpong CK, Maison POM, Morhe E, Aboah K,

Appiah KA-A, Azorliade R, Baah-Nyamekye K, Otu-Boateng K, Amoah G, Antwi I, Frimpong-Twumasi A and Arthur D. Intravesical migration of an intrauterine device. BMC Res Notes. 2016 Jan 2;9(1):4.

Savardekar LS, Shah RS and Vandana W. Asymptomatic

cervical perforation by intrauterine copper bearing contraceptive device: two unusual cases. Eur J Obstet Gynecol Reprod Biol. 2005 Jun 1;120(2):236–7.

Markovitch O, Klein Z, Gidoni Y, Holzinger M and

Beyth Y. Extrauterine mislocated IUD: is surgical removal mandatory? Contraception. 2002 Aug 1;66(2):105–8.

Family Planning Worldwide – 2008 Data Sheet

[Internet]. HEART. [cited 2020 Apr 6]. Available from: https://www.heart-resources.org/doc_lib/family-planning-worldwide-2008-data-sheet/

Diouf A, Moussa D, Gassama O, Niang M, Thiam M,

Gueye M, Mbaye M, Moreau JM, Van Herendael B and Diouf A. Migration of intrauterine device into the pelvic cavity: exploration strategy and management in African environment. Int J Reprod Contracept Obstet Gynecol. 2017 Jan 31;6:757.

Chi E, Rosenfeld D and Sokol TP. Laparoscopic

Removal of an Intrauterine Device Perforating the Sigmoid Colon: A Case Report and Review of the Literature [Internet]. 2005 [cited 2020 Apr 6]. Available from: https://www.ingentaconnect.com/content/sesc/tas/2005/00000071/00000012/art00014

Medina TM, Hill DA, DeJesus S and Hoover F. IUD

removal with colonoscopy: a case report. J Reprod Med. 2005 Jul;50(7):547–9.

Vahdat M, Gorginzadeh M, Mousavi AS, Afshari E and

Ghaed MA. Cystoscopic removal of a migrated intrauterine device to the bladder; a case report. Contracept Reprod Med. 2019 Jul 1;4(1):7.

Stuckey A, Dutreil P, Aspuru E and Nolan TE.

Symptomatic cecal perforation by an intrauterine device with appendectomy removal. Obstet Gynecol. 2005 May;105(5 Pt 2):1239–41.

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