Robotic-assisted laparoscopic retrieval of a migrated IUCD in the pelvis

Abstract Intrauterine contraceptive devices (IUCDs) are a popular treatment choice for contraception. We report a case of a woman in her forties who presented to a urology clinic with visible haematuria. Flexible cystoscopy revealed a bladder lesion, suspicious for a tumour. However, subsequent imag...

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Bibliographic Details
Published in:Journal of surgical case reports 2021-07, Vol.2021 (7)
Main Authors: Adasonla, Kelvin, Quraishi, Mohammed K, Samateh, Abdoulai, Tregunna, Rebecca, Calleja, Edward, Rimington, Peter D
Format: Article
Language:English
Subjects:
Case Report
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Summary:Abstract Intrauterine contraceptive devices (IUCDs) are a popular treatment choice for contraception. We report a case of a woman in her forties who presented to a urology clinic with visible haematuria. Flexible cystoscopy revealed a bladder lesion, suspicious for a tumour. However, subsequent imaging determined that this was in fact the arm of an IUCD, sited 7 years previously, which had migrated into the bladder. The patient underwent an uneventful robotic-assisted laparoscopic removal of the device. IUCD-related complications are infrequent and can present atypically, warranting a broad diagnostic approach. Robotic-assisted laparoscopic removal of devices migrating into pelvic structures offers all the advantages of minimally invasive surgery, with the added benefits of three-dimensional views and endowrist movement facilitating tasks such as intracorporeal suturing. We report the first documented case of utilizing the da Vinci robotic system in safely assisting the removal of a migrated IUCD.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjab268