Intrauterine Contraceptive Device Complication: Migration to the Small Bowl and Ovary Concurrently
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Abstract
Intrauterine Contraceptive Device (IUD) is a useful and reversible contraceptive method. This method has potential complications. Uterine perforation and IUD migration is rare but is a serious complication. Migrated IUD could situate in different organs such as bowel loop, urinary bladder, fallopian tube, or ovary. However, the presence of a displaced IUD simultaneously in the two organs is a rare event. Ultrasonography is an appropriate and initial method for evaluating the IUD location. Abdominopelvic x-ray, computed tomography, and MRI are adjunctive imaging modalities. We present a case with migrated IUD, which was located in the right ovary and small intestine simultaneously.
[1] Onalan G, Mulayim B, Toprak T, Baser E, Zeyneloglu HB. Extrauterine displaced intrauterine devices: When should they be surgically removed? Taiwanese Journal of Obstetrics and Gynecology. 2009; 48(4):415-6. [DOI:10.1016/S1028 4559(09)60334-X]
[2] Foda AA. A rare site of intrauterine contraceptive device migration. European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2016; 198:172-3. [DOI:10.1016/j.ejogrb.2015.12.006] [PMID]
[3] Goldbach AR, Hava S, Patel H, Khan M. IUD embedment in the fallopian tube: An unexpected location for a translocated IUD. Radiology Case Reports. 2018; 13(4):788-92. [DOI:10.1016/j.radcr. 2018.04.030] [PMID] [PMCID]
[4] Özdemir H, Mahmutyazıcıoğlu K, Tanrıverdi HA, Gündoğdu S, Savranlar A, Özer T. Migration of an intrauterine contraceptive device to the ovary. Journal of Clinical Ultrasound. 2004; 32(2):91-4. [DOI:10.1002/jcu.10228] [PMID]
[5] Verma U, Verma N. Ovarian embedding of a transmigrated intrauterine device: A case report and literature review. Archives of Gynecology and Obstetrics. 2009; 280(2):275-8. [DOI:10.1007/s00404- 008-0882-2] [PMID]
[6] Ferguson CA, Costescu D, Jamieson MA, Jong L. Transmural migration and perforation of a levonorgestrel intrauterine system: A case report and review of the literature. Contraception. 2016; 93(1):81-6. [DOI:10.1016/j.contraception.2015.08.019] [PMID]
[7] Kaislasuo J, Suhonen S, Gissler M, Lahteenmaki P, Heikinheimo O. Uterine perforation caused by intrauterine devices: Clinical course and treatment. Human Reproduction (Oxford, England). 2013; 28(6):1546-51. [DOI:10.1093/humrep/det074] [PMID]
[8] Key TC, Kreutner AK. Gastrointestinal complications of modern intrauterine devices. Obstetrics and Gynecology. 1980; 55(2):239-44. [PMID]
[9] Goyal S, Goyal S. Displaced intrauterine device: A retrospective study. The Journal of Medical Research. 2016; 2(2):41-3. http:// www.medicinearticle.com/JMR_201622_07.pdf
[10] Nowitzki KM, Hoimes ML, Chen B, Zheng LZ, Kim YH. Ultrasonography of intrauterine devices. Ultrasonography. 2015; 34(3):183-94. [DOI:10.14366/usg.15010] [PMID] [PMCID]
[11] Rowlands S, Oloto E, Horwell DH. Intrauterine devices and risk of uterine perforation: current perspectives. Open Access Journal of Contraception. 2016; 7:19-32. [DOI:10.2147/OAJC.S85546] [PMID] [PMCID]
[12] Kho KA, Chamsy DJ. Perforated intraperitoneal intrauterine contraceptive devices: Diagnosis, management, and clinical outcomes. Journal of Minimally Invasive Gynecology. 2014; 21(4):596-601. [DOI:10.1016/j.jmig.2013.12.123] [PMID] [PMCID]
[2] Foda AA. A rare site of intrauterine contraceptive device migration. European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2016; 198:172-3. [DOI:10.1016/j.ejogrb.2015.12.006] [PMID]
[3] Goldbach AR, Hava S, Patel H, Khan M. IUD embedment in the fallopian tube: An unexpected location for a translocated IUD. Radiology Case Reports. 2018; 13(4):788-92. [DOI:10.1016/j.radcr. 2018.04.030] [PMID] [PMCID]
[4] Özdemir H, Mahmutyazıcıoğlu K, Tanrıverdi HA, Gündoğdu S, Savranlar A, Özer T. Migration of an intrauterine contraceptive device to the ovary. Journal of Clinical Ultrasound. 2004; 32(2):91-4. [DOI:10.1002/jcu.10228] [PMID]
[5] Verma U, Verma N. Ovarian embedding of a transmigrated intrauterine device: A case report and literature review. Archives of Gynecology and Obstetrics. 2009; 280(2):275-8. [DOI:10.1007/s00404- 008-0882-2] [PMID]
[6] Ferguson CA, Costescu D, Jamieson MA, Jong L. Transmural migration and perforation of a levonorgestrel intrauterine system: A case report and review of the literature. Contraception. 2016; 93(1):81-6. [DOI:10.1016/j.contraception.2015.08.019] [PMID]
[7] Kaislasuo J, Suhonen S, Gissler M, Lahteenmaki P, Heikinheimo O. Uterine perforation caused by intrauterine devices: Clinical course and treatment. Human Reproduction (Oxford, England). 2013; 28(6):1546-51. [DOI:10.1093/humrep/det074] [PMID]
[8] Key TC, Kreutner AK. Gastrointestinal complications of modern intrauterine devices. Obstetrics and Gynecology. 1980; 55(2):239-44. [PMID]
[9] Goyal S, Goyal S. Displaced intrauterine device: A retrospective study. The Journal of Medical Research. 2016; 2(2):41-3. http:// www.medicinearticle.com/JMR_201622_07.pdf
[10] Nowitzki KM, Hoimes ML, Chen B, Zheng LZ, Kim YH. Ultrasonography of intrauterine devices. Ultrasonography. 2015; 34(3):183-94. [DOI:10.14366/usg.15010] [PMID] [PMCID]
[11] Rowlands S, Oloto E, Horwell DH. Intrauterine devices and risk of uterine perforation: current perspectives. Open Access Journal of Contraception. 2016; 7:19-32. [DOI:10.2147/OAJC.S85546] [PMID] [PMCID]
[12] Kho KA, Chamsy DJ. Perforated intraperitoneal intrauterine contraceptive devices: Diagnosis, management, and clinical outcomes. Journal of Minimally Invasive Gynecology. 2014; 21(4):596-601. [DOI:10.1016/j.jmig.2013.12.123] [PMID] [PMCID]
| Files | ||
| Issue | Vol 5 No 1 (2020): Winter | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v5i1.3611 | |
| Keywords | ||
| Intrauterine devices Uterine perforation intrauterine device migration Diagnostic imaging Ultrasonography | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Sasani MR, Soltani A. Intrauterine Contraceptive Device Complication: Migration to the Small Bowl and Ovary Concurrently. CRCP. 2020;5(1):27-29.
