Dislocated intrauterine devices: clinical presentations, diagnosis and management

Intrauterine devices (IUDs) are globally one of the most popular methods of contraception. Uterine perforation is one of the most significant complications of IUD use and commonly occurs at the time of IUD insertion rather than presenting as delayed migration. This paper reports a series of 13 cases...

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Bibliographic Details
Published in:The European journal of contraception & reproductive health care 2021-04, Vol.26 (2), p.160-166
Main Authors: Tabatabaei, Fatemeh, Masoumzadeh, Mahdiyeh
Format: Article
Language:English
Subjects:
Adult
Contraception
Female
Humans
Intrauterine Device Migration - adverse effects
Intrauterine devices
Intrauterine Devices - adverse effects
IUD
IUDs
Laparoscopy
Laparotomy
Medical diagnosis
Retrospective Studies
uterine perforation
Uterine Perforation - etiology
Uterine Perforation - surgery
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Summary:Intrauterine devices (IUDs) are globally one of the most popular methods of contraception. Uterine perforation is one of the most significant complications of IUD use and commonly occurs at the time of IUD insertion rather than presenting as delayed migration. This paper reports a series of 13 cases of displaced IUDs requiring retrieval by laparoscopy or laparotomy. All the IUDs were copper bearing and most perforations occurred immediately after IUD insertion. In two patients with sigmoid colon injury and IUD penetration of the appendix, laparoscopic management had failed and laparotomy was necessary owing to severe obliteration of the pelvic cavity. In one patient laparotomy was the preferred surgical approach owing to acute bowel perforation. In the remaining patients, the displaced devices were successfully removed by laparoscopy. Uterine perforation and IUD migration to the organs in the abdominopelvic cavity are serious complications of IUD insertion and can be successfully managed by laparoscopy, or by laparotomy in the presence of severe pelvic adhesions or unexpected complications.
ISSN:1362-5187
1473-0782
DOI:10.1080/13625187.2021.1874337