Intra Peritoneal Migration of an Intrauterine Device: A Case Report

Abstract

Introduction: Intrauterine devices are effective and reversible contraception methods, migration is rare complication described in this case report Presentation of the Case:  our patient is a 31 year old female, with history of surgery for small bowel obstruction 8 years ago, and placement of IUD 5 years ago. She presented symptoms of bowel obstruction, with tenderness of right lower quadrant. An emergency CT scan showed small bowel obstruction with a foreign object in the lower right quadrant of the  abdomen. The patient was operated urgently and a IUD was found in the peritoneum next to the caecum, the post operative course was uneventful and the patient discharged two days later. Discussion: Migrating IUD is a rare complication although it is described in literature, it may occur during the insertion by an unnoticed perforation, or progressive transmural migration, it may be asymptomatic for a long time but once the migration is discovered it has to be extracted. Conclusion: IUD is an effective, safe and reversible contraception method, the complications of which should be known by practitioners for an effective follow up.