Abstract

Translocation of an IUD secondary to uterine perforation occurs in approximately 0.05-13/1000 insertions. This brief communication reports the 1st case of removal of an IUD from the lumen of the rectum. The patient, a 31-year old woman, para 1, had a Gravigard IUD fitted 4 months after childbirth. 2 weeks later, the patient complained of dyspareunia and lower abdominal discomfort. The threads of the device were not visible, but ultrasonography revealed the coil to be in situ. 2 months after this examination, the patient became pregnant and went on to a fullterm vaginal delivery. The IUD was not found until 4 months after delivery, when the patient noted a thread from the coil protruding through the anus. This case suggests that lost coils should be thoroughly investigated.

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