Far migration of an intrauterine contraceptive device from the uterus to the small bowel

A sexually active, asymptomatic 44‐year‐old presented for Intrauterine device (IUD) removal that had been in place for 13 years. IUD removal was unsuccessful as the strings could not be located. Imaging revealed an extrauterine IUD and at surgical removal of the abdominal IUD a small bowel perforati...

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Detalles Bibliográficos
Autores principales: Carroll, Alexandria, Paradise, Courtney, Schuemann, Katie, Schellhammer, Shannon Scott, Carlan, Steve J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8918466/
https://www.ncbi.nlm.nih.gov/pubmed/35310311
http://dx.doi.org/10.1002/ccr3.5589
Descripción
Sumario:A sexually active, asymptomatic 44‐year‐old presented for Intrauterine device (IUD) removal that had been in place for 13 years. IUD removal was unsuccessful as the strings could not be located. Imaging revealed an extrauterine IUD and at surgical removal of the abdominal IUD a small bowel perforation requiring bowel resection was required. Uterine perforation is a rare complication of IUD use occurring in approximately 1–1.3 in 1000. Risk factors for perforation include provider inexperience, retroverted uterus, immobile uterus, and myometrial defect from a previous cesarean delivery or myomectomy.

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