CASE REPORT: TALE OF A MISSING COPPER-T.

Rajagopal K,Sadiqunissa M.D,Smitha B Rao,Suresh Mayya,Mujeeb Ms,Shettyprathashwini B

doi:10.7439/ijbr.v3i10.783

Abstract

Migration of Intrauterine contraceptive device (IUCD) following uterine perforation is not common, but of utmost concern. We present a case of migration of IUCD into bladder and bowel. A 23 years old lady presented with early pregnancy with IUCD insitu, on examination diagnosed to be misplaced copperT, laparotomy performed to recover the copperT which had perforated the bladder and bowel.

Highlights

Intrauterine contraceptive device (CuT) is second most common contraception adopted worldwide since 1965 1
As a result of perforation, the device may become embeded in uterine musculature or migrate outside uterus, commonly into peritoneal cavity, rarely into bladder or rectum[3]
To confirm that no part of the copper T was there in the cavity of uterus or bladder, hysteroscopy and cystoscopy done, findings were negative, patient was posted for diagnostic laparoscopy

Summary

Introduction

Intrauterine contraceptive device (CuT) is second most common contraception adopted worldwide since 1965 1. Discontinuation rate in India is 20-40% in one year 4,5,6 and reasons for the same are increased bleeding, inter menstrual bleeding, pain, pelvic inflammatory disease, IUCD expulsion, perforation of the uterus and the surrounding structures, secondary infertility, failure of IUCD leading to ectopic pregnancy. Uterine perforation is rare and occurs at 1.6/1000 insertions[7]. As a result of perforation, the device may become embeded in uterine musculature or migrate outside uterus, commonly into peritoneal cavity, rarely into bladder or rectum[3].

Results

Conclusion