World Journal of Laparoscopic Surgery

Register      Login

VOLUME 13 , ISSUE 2 ( May-August, 2020 ) > List of Articles

CASE REPORT

Laparoscopic Retrieval of a Displaced Intrauterine Device Presenting as Umbilicus Sinus

Diwakar Sahu, Kislaya Kumar Sao, Shiv Shankar Dubey

Citation Information : Sahu D, Sao KK, Dubey SS. Laparoscopic Retrieval of a Displaced Intrauterine Device Presenting as Umbilicus Sinus. World J Lap Surg 2020; 13 (2):87-89.

DOI: 10.5005/jp-journals-10033-1404

License: CC BY-NC 4.0

Published Online: 08-12-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aim: To report a case of displaced intrauterine device (IUD), having unusual presentation, and signify the role of laparoscopy in the surgical management of migrated IUD. Background: The IUD is a popular family planning method worldwide. Intrauterine device migration into the peritoneal cavity is a serious complication and requires surgical removal in the majority of cases. In most of the reported cases, retrieval was performed through laparotomy. Moreover, cases which were attempted laparoscopically, many of them later converted to open. Also, previously published articles have mentioned migration of IUD into rectosigmoid, urinary bladder, small intestine, iliac vessels, and other sites. Ours is a probably first reported case of displaced IUD presenting as discharging umbilical sinus and surgical retrieval performed via laparoscopic approach. Case description: A 28-year-old woman presented with pain and discharge from umbilicus. Investigations revealed displaced IUD at the level of umbilicus. Patient underwent laparoscopy surgery and found to have displaced IUD, embedded in-between omental adhesion to umbilicus. Entire surgery was carried out laparoscopically and IUD removed. Patient had uneventful recovery after surgery. Conclusion: Uterine perforation following IUD insertion is a rare but potentially serious complication. Accurate preoperative localization of displaced IUD is obligatory and helpful. Current practice is to surgically remove all displaced IUDs. Laparoscopic approach appears to be safe with advantage of faster recovery and good cosmesis. Clinical significance: Our article will provide insight in erratic presentation of displaced IUD and further augment the role of laparoscopy in the management of such cases.


HTML PDF Share
  1. Ingec M, Kumtepe Y, Kadanali S, et al. A rare case of ileal embedding by an intrauterine device. Eur J Contracept Reprod Health Care 2005;10(1):29–31. DOI: 10.1080/13625180500035082.
  2. Sharifiaghdas F, Mohammad Ali Beigi F, Abdi H. Laparoscopic removal of a migrated intrauterine device. Urol J 2007;4(3):177–179.
  3. Meshikhes AW, El-Tair M, Al-Zahir AA. Laparoscopic removal of a migrated intrauterine contraceptive device. J Inst Obstet Gynaecol 2010;30(3):317–319. DOI: 10.3109/01443610903585200.
  4. Ohana E, Sheiner E, Leron E, et al. Appendix perforation by an intrauterine contraceptive device. Eur J Obstet Gynecol Reprod Biol 2000;88(2):129–131. DOI: 10.1016/S0301-2115(99)00142-6.
  5. Zeino MY, Wietfeldt ED, Advani V, et al. Laparoscopic removal of a copper intrauterine device from the sigmoid colon. JSLS 2011;15(4):568–570. DOI: 10.4293/108680811X13176785204661.
  6. Shin DG, Kim TN, Lee W. Intrauterine device embedded into the bladder wall with stone formation: laparoscopic removal is a minimally invasive alternative to open surgery. Int Urogynecol J 2012;23(8):1129–1131. DOI: 10.1007/s00192-011-1632-8.
  7. Mosley FR, Navneel S, Kurer MA. Elective surgical removal of migrated intrauterine contraceptive devices from within the peritoneal cavity: a comparison between open and laparoscopic removal. JSLS 2012;16(2):236–241. DOI: 10.4293/108680812X13427982377265.
  8. Gill RS, Mok D, Hudson M, et al. Laparoscopic removal of an intra-abdominal intrauterine device: case and systematic review. Contraception 2012;85(1):15–18. DOI: 10.1016/j.contraception.2011.04.015.
  9. Mechanism of action, safety and efficacy of intrauterine devices. Report of a WHO scientific group. World Health Organ Tech Rep Ser 1987;753:1–91.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.