Abstract
The intrauterine device (IUD) was a very common form of birth control in Tunisia and the world wide. The most serious potential complication of IUD use is uterine perforation. Clinical trials of Multiload Cu375 have reported an incidence of less than one uterine perforation per 1,000 insertions [1-3]. The recommended treatment is removal of the perforating IUD. This can usually be managed laparoscopically unless bowel perforation or other severe sepsis is present. We report a case of 45 years old woman carrying an IUD for 6 years which was referred from the family planning for IUD "lost". Upon vaginal examination, no IUD string was detected. An abdominal X-ray localised the IUD in a right iliac fossa. The device was identified and removed with a portion of the omentum. There is not an intestinal damage fortunately. The laparoscopic approach for intrauterine device removal has multiple purposes like identifing IUD, removing it and looking for eventuelly intestinal damages. It may be a simple and safe approach, thus minimizing possible postoperative complications.
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