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CASE REPORT
Laparoscopic removal of migrated intrauterine device
  1. Ariel P Santos1,
  2. Cate Wetzel2,
  3. Zia Siddiqui2,
  4. David Shane Harper2
  1. 1Department of Surgery, Texas Tech University Health Science, Lubbock, Texas, USA
  2. 2Texas Tech University Health Sciences Center, Amarillo, Texas, USA
  1. Correspondence to Dr Ariel P Santos, ariel.santos{at}ttuhsc.edu

Summary

Intrauterine device (IUD) is a popular long-acting reversible contraceptive device with an estimated rate of use of about 5.3%. It is highly effective but not without complications, one of which is uterine perforation. The patient was a 32-year-old female who presented with nausea, vomiting and right upper quadrant abdominal pain that was tender on palpation. CT scan was performed and they found signs of acute calculous cholecystitis with incidental finding of a migrated IUD in the left lateral mid-abdomen within the peritoneal cavity. She underwent a laparoscopic cholecystectomy followed by a successful IUD retrieval. Most uterine perforations occur at the time of insertion; however, partial perforation with subsequent delayed complete perforation may also occur. This case emphasises the importance of a full workup for a missing IUD and that, if incidentally found, IUDs can be removed safely laparoscopically in conjunction with another procedure.

  • general surgery
  • sexual health

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Footnotes

  • Twitter @traumamd1

  • Contributors APS conceptualized the case report and did the procedure. APS, CW and ZS prepared the initial drafting of the paper. APS, DSH, CW and ZS did the research, editing and final drafting of the paper.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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