Far Migration of an Intrauterine Contraceptive Device from the Uterus to the Small Bowel

Overview

Journal Clin Case Rep

Date 2022 Mar 21

PMID 35310311

Authors

Alexandria Carroll

Courtney Paradise

Katie Schuemann

Shannon Scott Schellhammer

Steve J Carlan

Affiliations

Soon will be listed here.

Abstract

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.

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Far migration of an intrauterine contraceptive device from the uterus to the small bowel.

Carroll A, Paradise C, Schuemann K, Schellhammer S, Carlan S Clin Case Rep. 2022; 10(3):e05589.

PMID: 35310311 PMC: 8918466. DOI: 10.1002/ccr3.5589.

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