Appendiceal perforation caused by an intrauterine contraceptive device: A case report

Perforation of the appendix by an intrauterine contraceptive device occurs rarely. A 30-year-old woman presented to the emergency room complaining of severe abdominal pain and nausea 3 months after insertion of an intrauterine contraceptive device (Copper T). Ultrasound and radiological examination showed the device to be outside the uterus, in the right iliac fossa. Adhesions were found at laparoscopy between the appendix and the right adnexa. Appendicectomy, removal of the intrauterine device, and right salpingo-oophorectomy were performed. She was discharged home without any complications. Histopathology revealed inflammation of the appendix. Uterine perforation should be considered in women with abdominal pain following insertion of an intrauterine device.