Intraparietal Migration of copper Intrauterine Device: Case Report and Literature Review

Biological & Medical Sciences

Introduction: Intrauterine device (IUD) contraception is effective, reversible, well-tolerated, inexpensive and among the most widely used contraceptive methods in the world. Observation: A 37-year-old female, VI gesture IV part, 2 months postpartum from a caesarean delivery, was seen for moderate pelvic pain ten days after insertion of a copper IUD, resistant to analgesics. Examination failed to detect the IUD thread. Ultrasound showed an empty uterus. An unprepared abdominal X-ray showed the IUD opposite the right iliac fossa. Laparoscopy localized the IUD in a parieto-epilpo-uterine adhesion. Extraction was performed after release of the adhesion. Discussion: The IUD is one of the most widely used long-term reversible contraceptive methods in the world. However, it can present complications, notably migration after uterine perforation, which remains rare, and even rarer parietal localization. Clinical diagnosis is not always obvious, and additional tests are required to locate the IUD, including ultrasound, CT scan or MRI. The WHO recommends surgical removal of the migrated IUD by minimally invasive methods, including hysteroscopy, cystoscopy, colonoscopy or laparoscopy, depending on the location of the IUD. Conclusion: IUDs are effective contraceptive measures, and the majority of patients with uterine perforation due to IUD migration are asymptomatic. Diagnosis is based on a thorough gynecological examination and appropriate radiological imaging

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