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      Intrauterine Device Migration: A Diagnostic and Management Dilemma

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          Abstract

          Intrauterine devices (IUDs) are an effective method of contraception, with failure rates comparable to sterilization. In rare cases, IUDs can migrate to other sites, including the bladder, cecum, and fallopian tubes. This case reports a 44-year-old woman who was misdiagnosed with a urachal cyst due to the migration of her IUD into the anterior abdominal wall. A laparoscopic retrieval was successfully performed. To prevent any further serious complications, it is imperative to promptly diagnose and manage migrated IUDs.

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          Asymptomatic far-migration of an intrauterine device into the abdominal cavity: A rare entity

          Özgü Aydoğdu, Huseyin Pülat (2012)
          Article 0 comments Cited 13 times – based on 0 reviews     Review now
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            Migrated Intravesical Intrauterine Contraceptive Devices: A Case Series and a Suggested Algorithm for Management

            Omar S Akhtar, Sabahat Rasool, Syed Sajjad Nazir (2021)
            Introduction Intrauterine contraceptive devices (IUCD) are a commonly used, reversible, contraceptive method. Complications from insertion rarely include migration into the bladder. We report on two cases of intravesical migrated IUCD and present an algorithm for management based on recently published data. Materials and Methods The case records of two patients who underwent surgical procedures for migrated IUCD into the bladder were reviewed. A Pubmed search was performed to identify similar studies. A total of 25 papers met the criteria for inclusion. Results Both cases were managed with laparotomy and partial cystectomy. A review of literature suggests recently reported cases of IUCD migration are rising, with most cases having been reported in the last decade. Bladder calculus developing over the migrated IUCD is the most common presentation. Most cases have been managed using endourological techniques. A small number of cases have required open vesicolithotomy or laparoscopic surgery. Rarely, laparotomy has been required.  Discussion IUCD migration into the bladder remains rare, however, recently the number of reported cases has risen. A thorough physical examination and radiological evaluation are warranted. Management is surgical in all cases. Most cases can be managed with endourological techniques. A treatment algorithm has been suggested in this paper based on recent data. Conclusion With the rising use of contraception worldwide, the incidence of IUCD migration is possibly going to increase. Treating doctors need to be aware of the possible complications that may arise from a migrated IUCD, including bladder calculi.
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              Migration of intrauterine devices with radiological findings: report on two cases

              Hediye Pinar Günbey, Asli Tanrivermis Sayit, Ilkay Sedakat Idilman … (2014)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Cureus
                Journal ID (iso-abbrev): Cureus
                Journal ID (issn): 2168-8184
                Title: Cureus
                Publisher: Cureus (Palo Alto (CA) )
                ISSN (Electronic): 2168-8184
                Publication date (Electronic, pub): 5 April 2024
                Publication date (Electronic, collection): April 2024
                Volume: 16
                Issue: 4
                Electronic Location Identifier: e57637
                Affiliations
                [1 ] Department of Obstetrics and Gynaecology, NMC Royal Hospital, Khalifa City, Abu Dhabi, ARE
                Author notes
                Article
                DOI: 10.7759/cureus.57637
                PMC ID: 11070057
                PubMed ID: 38707021
                SO-VID: 08f35377-f6fe-48c5-8409-1187f3398c78
                Copyright © Copyright © 2024, Venkataramani et al.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                Date accepted : 4 April 2024
                Categories
                Subject: Obstetrics/Gynecology

                Keywords: copper iud,laparoscopy,intrauterine device migration,irregular menstruation,abdominal pain
                Data availability:
                Keywords: copper iud, laparoscopy, intrauterine device migration, irregular menstruation, abdominal pain

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