Transmigration of copper <scp>IUCD</scp> leading to abdominal abscess: A case report

Lamichhane, Ramesh; Kumari, Swati; Khadka, Anuska

doi:10.1002/ccr3.6006

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Symptoms of IUCD migration into the colon can mimic those of other gastrointestinal conditions, such as irritable bowel syndrome, making it challenging to diagnose and treat the underlying cause [ 5 , 6 ]. Furthermore, the presence of adhesions and chronic inflammation surrounding the misplaced IUCD can contribute to persistent symptoms even after removal [ 7 ]. In cases where IUCDs migrate into the colon, early diagnosis and prompt intervention are crucial to prevent further complications such as bowel perforation or penetration into adjacent organs [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of Intrauterine Contraceptive Device From the Descending Colon: A Case Report

Shabbir,

Aljohani,

Alfaiz

et al. 2024

Cureus

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Intrauterine contraceptive device (IUCD) is a popular method of contraception used worldwide. Although successful, it can get dislodged from its primary position and perforate the uterine wall. Migration to the colon is an uncommon complication. The patient's symptoms may mimic that of irritable bowel syndrome (IBS), including abdominal pain and changes in bowel movements. The correct diagnosis may be missed for long periods of time, leading to unnecessary suffering and potential complications. It is important for healthcare providers to consider the possibility of intrauterine contraceptive device dislodgement and migration while evaluating patients with a history of IUCD presenting with these symptoms, especially if they have a history of IUCD use. We describe a case where an IUCD was found to be dislodged in the colon and successfully removed through colonoscopy. This case highlights the importance of thorough investigation and follow-up in cases of suspected IUCD migration, as well as the potential for endoscopic removal as a safe and effective method for extracting migrated IUCDs in the bowel.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of Intrauterine Contraceptive Device From the Descending Colon: A Case Report

Shabbir,

Aljohani,

Alfaiz

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…However, the exact mechanisms behind these occurrences are not fully understood. Copper-based IUCDs, renowned for their contraceptive effectiveness, induce an inflammatory response that serves the dual purpose of contraception and, potentially, contributes to chronic uterine perforation and device migration [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the situation of our patient, the multifaceted origin of her bladder symptoms unraveled only after comprehensive imaging and detailed exploration of her medical history. In particular, bladder symptoms can manifest from even a partial invasion of the bladder wall by an IUCD, without complete transmigration [ 4 ]. Therefore, a high index of suspicion is warranted in clinical evaluations of patients with bladder symptoms and a history of intact or missing IUCDs.…”

Section: Discussionmentioning

confidence: 99%