TITLE:
Successful Laparoscopic Management of a Migrated Intrauterine Contraceptive Device in the Pelvic Cavity: A Case Report
AUTHORS:
Tompeen Isidore, Inna Rakya, Tchounzou Robert, Neng Humphry, Mangala Georges, Tchenté Charlotte, Mboudou Emile
KEYWORDS:
IUD, Ectopic Migration, Contraception, Laparoscopy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.1,
January
17,
2024
ABSTRACT: Background: An Intrauterine device (IUD) is a long-acting reversible contraceptive commonly
used in clinical practice. Its insertion in the uterus is simple and safe. But
sometimes, complications can occur. Case Report: Herein, we report a
case of successful laparoscopic removal of a missing IUD Copper-T, mis-inserted
in a 32-year-old woman, 4 months after she delivered by caesarian section, and
presented persistent lower abdominal pain lasting 6 months. Uterine ultrasound
was unremarkable, but a plain abdominopelvic X-ray confirmed the presence of
the Copper-T inside the abdominal cavity. Conclusion: Insertion of IUD
is simple and safe. When the diagnosis of uterine perforation following its
insertion is clinically suspected and radiologically confirmed, laparoscopy,
when available, remains one of the best options for removal.