Laparoscopic removal of an intraperitoneal translocated intrauterine contraceptive device

Abstract

The use of an intrauterine contraceptive device (IUD) is often accompanied by various complications, the perforation of the uterus constituting the most dangerous. Here we report the case of a patient who complained of abdominal pains. She had had an IUD inserted 15 months previously. Three months later, as she could no longer see the IUD strings at the external os of the cervix, she underwent pelvic ultrasonography, which did not show the IUD in the uterine cavity. A diagnosis of expulsion of the IUD was made. A few months later, the patient accidentally became pregnant, and decided to have an abortion. From that time on, she started to complain of the above-mentioned symptoms. She had an abdominal X-ray which revealed the IUD in the abdominal cavity. She then underwent a laparoscopic removal of the translocated IUD.

Translocation of Postplacental Intrauterine Device: A Rare Complication

“…One of the most frequent is unwanted pregnancy [1,2]. It is a fact that, the dislodgment can bring the IUD into the surrounding organs or the momentum.…”

Minimally invasive surgical approach to retrieve migrated intrauterine contraceptive device

“…Rates of successful laparoscopic removal reported is variable from 44% to 100%. 16,18 Adhesiolysis for extensive bowel and omental adhesions, in three patients of our study was performed laparoscopically. The advantages of minimally invasive approach includes, less post operative pain, shorter hospitalization, better cosmesis and quick post operative recovery.…”

Manejo Laparoscópico De Dispositivo Intrauterino Migrado a Trompa De Falopio Con Hidrosalpinx Secundario

“…Las complicaciones más frecuentes asociada al uso de DIU son las infecciones pélvicas y la perforación uterina hacia la cavidad pélvica, abdominal y retroperitoneal (2,5,7).…”

“…En el caso presentado, encontramos una pelvis libre de adherencias, y un hidrosalpinx izquierdo con una adherencia laxa al ovario, que al liberarla permitió la visualización de la rama vertical del DIU, insinuándose a través de la fimbria, lo que permitió su extracción mediante una salpingectomía sin complicaciones. La tasa de remoción laparoscópica exitosa de un dispositivo varía desde 44 a 100% en publicaciones nacionales e internacionales (1,5,7).…”