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Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report

We aim to present a rare case of a missing intrauterine contraceptive device (IUCD) that was found in the terminal ileum by laparoscopy and was managed initially by laparoscopy and then proceeded to laparotomy. A 29-year-old female who had a copper IUCD inserted by a senior gynecologist presented to...

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Autores principales: Alharbi, Khalid Y, Filimban, Hossein A, Bafageeh, Salman W, Binaqeel, Aqeel S, Bayzid, Majed A, Brasha, Nabeel M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9621717/
https://www.ncbi.nlm.nih.gov/pubmed/36340548
http://dx.doi.org/10.7759/cureus.29748
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author Alharbi, Khalid Y
Filimban, Hossein A
Bafageeh, Salman W
Binaqeel, Aqeel S
Bayzid, Majed A
Brasha, Nabeel M
author_facet Alharbi, Khalid Y
Filimban, Hossein A
Bafageeh, Salman W
Binaqeel, Aqeel S
Bayzid, Majed A
Brasha, Nabeel M
author_sort Alharbi, Khalid Y
collection PubMed
description We aim to present a rare case of a missing intrauterine contraceptive device (IUCD) that was found in the terminal ileum by laparoscopy and was managed initially by laparoscopy and then proceeded to laparotomy. A 29-year-old female who had a copper IUCD inserted by a senior gynecologist presented to the clinic with pelvic pain and discomfort. She underwent laparoscopy for IUCD removal. Intraoperatively, the IUCD was discovered to be embedded in the terminal ileum, and therefore, laparoscopy was converted to an open laparotomy. The patient was readmitted multiple times because of abnormal fluid collection in the pelvic region, which was resolved finally by pigtail insertion. This case sheds a light on the possibility of complications occurring in the medical field even if the practitioner is a senior gynecologist. Furthermore, missed IUCDs require thorough investigation and imaging to make an appropriate management plan to avoid serious complications.
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spelling pubmed-96217172022-11-04 Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report Alharbi, Khalid Y Filimban, Hossein A Bafageeh, Salman W Binaqeel, Aqeel S Bayzid, Majed A Brasha, Nabeel M Cureus Obstetrics/Gynecology We aim to present a rare case of a missing intrauterine contraceptive device (IUCD) that was found in the terminal ileum by laparoscopy and was managed initially by laparoscopy and then proceeded to laparotomy. A 29-year-old female who had a copper IUCD inserted by a senior gynecologist presented to the clinic with pelvic pain and discomfort. She underwent laparoscopy for IUCD removal. Intraoperatively, the IUCD was discovered to be embedded in the terminal ileum, and therefore, laparoscopy was converted to an open laparotomy. The patient was readmitted multiple times because of abnormal fluid collection in the pelvic region, which was resolved finally by pigtail insertion. This case sheds a light on the possibility of complications occurring in the medical field even if the practitioner is a senior gynecologist. Furthermore, missed IUCDs require thorough investigation and imaging to make an appropriate management plan to avoid serious complications. Cureus 2022-09-29 /pmc/articles/PMC9621717/ /pubmed/36340548 http://dx.doi.org/10.7759/cureus.29748 Text en Copyright © 2022, Alharbi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Obstetrics/Gynecology
Alharbi, Khalid Y
Filimban, Hossein A
Bafageeh, Salman W
Binaqeel, Aqeel S
Bayzid, Majed A
Brasha, Nabeel M
Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report
title Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report
title_full Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report
title_fullStr Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report
title_full_unstemmed Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report
title_short Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report
title_sort removal of a migrated intrauterine contraceptive device perforating the terminal ileum: a case report
topic Obstetrics/Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9621717/
https://www.ncbi.nlm.nih.gov/pubmed/36340548
http://dx.doi.org/10.7759/cureus.29748
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