Abstract

IUDs represent a safe and effective method of contraception and are widely used in various countries. This article reports the case of a 42-year-old female patient who had undergone a laparoscopic removal of translocated retroperitoneal IUD. Local examination demonstrated a complete perineal tear which occurred during her last childbirth and for which she had not sought any treatment. Pelvic examination revealed a normal-sized uterus and her rectal examination was also normal except for a complete perineal tear. On ultrasonography the IUD was not seen in the uterine cavity or buried in the myometrium. Plain X-ray of the abdomen revealed the IUD lying just above the right ureter and pelvic vessels and it was successfully removed laparoscopically. This case demonstrates that laparoscopic removal of a misplaced IUD from this difficult site is safe and effective. It also highlights the need to inspect the abdominal walls and retroperitoneum carefully when a translocated IUD is not found in the pelvic or abdominal cavity.

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