Abstract

A number of complications are reported with the use of intrauterine contraceptive devices. These may pursue asymptomatic course or present as an acute abdomen after migration into peritoneal cavity. The authors here are reporting an abdominal wall swelling caused by transuterine migration of a copper intrauterine contraceptive device in a 28-year-old female. An open approach was used, and impacted foreign body was retrieved.

Highlights

  • Intrauterine contraceptive devices (IUCD) are regarded as a safe, effective, and economic form of contraception

  • Retrieval of migrated IUCD may involve open or laparoscopic approach depending on expertise, facilities, and nature of migration

  • IUCD migrated can be located in lower anterior abdominal wall [11]

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Summary

Introduction

Intrauterine contraceptive devices (IUCD) are regarded as a safe, effective, and economic form of contraception. Possible serious complication associated with its use restricts utilization by a large part of general population [1]. These may migrate inside peritoneal cavity, and pathway for migration is via uterus or fallopian tube. Depending on site and severity of involvement, migration of IUCD present with varying abdominal symptoms and signs or may remain asymptomatic [2]. Radiological investigations can detect asymptomatic migrated IUCD. Even if asymptomatic migrated IUCDs are to be retrieved to prevent serious complications. Retrieval of migrated IUCD may involve open or laparoscopic approach depending on expertise, facilities, and nature of migration

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