Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website http://www.jcgo.org

Case Report

Volume 6, Number 3-4, October 2017, pages 75-78

Tubal Migration of Intrauterine Device: A Report of a Rare Case of Trauma-Induced Migration Leading to Acute Abdomen

Figures

Figure 1.
Figure 1. Abdominal X-ray showing the intrauterine device in the left iliac fossa (white arrow).
Figure 2.
Figure 2. CT scan of the pelvis with intravenous and oral contrast localizing the intrauterine device in the left adnexa (white arrow).
Figure 3.
Figure 3. Laparoscopic view of the intra-abdominal IUD. The IUD perforates the isthmus of the left fallopian tube (white dashed arrow) creating adhesions of the omentum around it. The IUD thread is shown behind the laparoscopic clamp (black rigid arrow).

Table

Table 1. Characteristics of the Seven Cases of Trans-Tubal Migration of Intrauterine Device Found in Literature Since 1976
 
AuthorAgeIUD typeTime from insertion to diagnosisPresentationLocationOutcome
IUD: intrauterine device.
Gunaratne [6]27Lippes2 yearsRight iliac fossa pain and pregnancyRight tubal fimbriaeOpen right salpingectomy
Kim et al [7]35Lippes6 yearsAccidental finding during laparoscopy for sterilizationRight tubal fimbriaeLaparoscopic removal of IUD and sterilization
Wikland and Wilhelmsson [8]31Copper-73 monthsAbsence of thread during routine examRight tubal ampullaOpen removal of IUD
Sindos et al [9]33Copper T380A10 yearsRight iliac fossa pain and menorrhagiaRight tubeLaparoscopic right salpingectomy
Ozdemir et al [10]34Copper T380A8 yearsLow abdominal painLeft tubeOpen left salpingectomy
Bharathi et al [11]75Lippes40 yearsColicky epigastric pain, loose stool, weaknessRight tubal fimbriaeLaparotomy: removal of IUD, hemicolectomy for cecal adenocarcinoma
Nde-Ouedraogo et al [3]34Copper T380A1 monthPelvic pain and vaginal dischargeLeft tubal isthmusOpen removal of IUD
The present case26Copper T380A3 monthsLeft iliac fossa pain following a fallLeft tubal isthmusLaparoscopic removal of IUD