Migration of a TCu380A Intrauterine Device into the Abdominal Cavity after Insertion: A Rare Entity

Abstract

Intrauterine device (IUD) is most frequently used long acting reversible contraception.
Uterine perforation is a serious problem which can happen after intrauterine device (IUD) insertion. Migration
of the IUD to the pelvic and abdominal cavity or adjacent organs may be seen following perforation of the uterus.
Migration of an IUD to a far intra-abdominal site is extremely rare.
Severe or unrelenting pelvic pain, active vaginal bleeding and unusually short string during or after IUD insertion
suggest uterine perforation with migrating IUD into abdominal cavity. Ultrasound and X-ray can be used to locate
the migrating IUD.
The patient reported here had undergone IUD placement seven months back at local Health center three months
after delivery. Since the time of insertion she has lower abdominal pain. Because of its rarity, this case report
may help in suspecting, diagnosing, approaching and management of patients’ with migrating IUD after uterine
perforation.
KEY WORDS: Missed/migrating IUD, uterine perforation