Open AccessFar migration of an intrauterine contraceptive device from the uterus to the small bowel
Author(s) -
Carroll Alexandria,
Paradise Courtney,
Schuemann Katie,
Schellhammer Shan Scott,
Carlan Steve J.
Publication year - 2022
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.5589
Subject(s) - medicine , uterus , uterine perforation , asymptomatic , intrauterine device , perforation , complication , surgery , obstetrics , family planning , gynecology , population , research methodology , materials science , environmental health , punching , metallurgy
A sexually active, asymptomatic 44‐year‐old presented for Intrauterine device (IUD) removal that had been in place for 13 years. IUD removal was unsuccessful as the strings could not be located. Imaging revealed an extrauterine IUD and at surgical removal of the abdominal IUD a small bowel perforation requiring bowel resection was required. Uterine perforation is a rare complication of IUD use occurring in approximately 1–1.3 in 1000. Risk factors for perforation include provider inexperience, retroverted uterus, immobile uterus, and myometrial defect from a previous cesarean delivery or myomectomy.