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Intrauterine contraceptive device (IUCD) is among the commonly used contraceptive methods in the world including sub-Saharan Africa but have been associated with a number of complications that although rare, can occur. Uterine perforation is the most serious complication of the IUCD. Surgical management is required in cases with complete uterine perforation, in which the IUCD is partially or completely within the peritoneal cavity. We present a case of a 27year old para 2 woman reporting with mild lower abdominal pains and the absence of IUCD string in the vagina after its insertion following evacuation of the uterus 2 years prior to this study. With the utilization of multiple imaging modalities, an exploratory laparotomy was done to remove the migrated IUCD and repair of the perforated bowel and urinary bladder.

Original publication

DOI

10.29063/ajrh2020/v24i4.21

Type

Journal article

Journal

Afr J Reprod Health

Publication Date

12/2020

Volume

24

Pages

213 - 217

Keywords

Computed Tomography, Migrated IUCD, radiography, ultrasonography, uterine perforation, Adult, Female, Foreign Bodies, Foreign-Body Migration, Humans, Intrauterine Device Migration, Intrauterine Devices, Laparotomy, Tomography, X-Ray Computed, Treatment Outcome, Ultrasonography, Uterine Perforation