Far migration of an intrauterine contraceptive device from the uterus to the small bowel

Abstract A sexually active, asymptomatic 44‐year‐old presented for Intrauterine device (IUD) removal that had been in place for 13 years. IUD removal was unsuccessful as the strings could not be located. Imaging revealed an extrauterine IUD and at surgical removal of the abdominal IUD a small bowel...

Full description

Bibliographic Details
Main Authors: Alexandria Carroll, Courtney Paradise, Katie Schuemann, Shannon Scott Schellhammer, Steve J. Carlan
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.5589
_version_ 1830212022645555200
author Alexandria Carroll
Courtney Paradise
Katie Schuemann
Shannon Scott Schellhammer
Steve J. Carlan
author_facet Alexandria Carroll
Courtney Paradise
Katie Schuemann
Shannon Scott Schellhammer
Steve J. Carlan
author_sort Alexandria Carroll
collection DOAJ
description Abstract A sexually active, asymptomatic 44‐year‐old presented for Intrauterine device (IUD) removal that had been in place for 13 years. IUD removal was unsuccessful as the strings could not be located. Imaging revealed an extrauterine IUD and at surgical removal of the abdominal IUD a small bowel perforation requiring bowel resection was required. Uterine perforation is a rare complication of IUD use occurring in approximately 1–1.3 in 1000. Risk factors for perforation include provider inexperience, retroverted uterus, immobile uterus, and myometrial defect from a previous cesarean delivery or myomectomy.
first_indexed 2024-12-18T05:55:05Z
format Article
id doaj.art-4329683898a144ed9a7dc581fafe91e7
institution Directory Open Access Journal
issn 2050-0904
language English
last_indexed 2024-12-18T05:55:05Z
publishDate 2022-03-01
publisher Wiley
record_format Article
series Clinical Case Reports
spelling doaj.art-4329683898a144ed9a7dc581fafe91e72022-12-21T21:18:49ZengWileyClinical Case Reports2050-09042022-03-01103n/an/a10.1002/ccr3.5589Far migration of an intrauterine contraceptive device from the uterus to the small bowelAlexandria Carroll0Courtney Paradise1Katie Schuemann2Shannon Scott Schellhammer3Steve J. Carlan4Department of Obstetrics and Gynecology Orlando Regional Healthcare Orlando Florida USADivision Minimally Invasive Surgery Department of Obstetrics and Gynecology Orlando Regional Healthcare Orlando Florida USADepartment of General Surgery Orlando Regional Healthcare Orlando Florida USADepartment of Obstetrics and Gynecology Orlando Regional Healthcare Orlando Florida USADivision of Academic Affairs and Research Orlando Regional Healthcare Orlando Florida USAAbstract A sexually active, asymptomatic 44‐year‐old presented for Intrauterine device (IUD) removal that had been in place for 13 years. IUD removal was unsuccessful as the strings could not be located. Imaging revealed an extrauterine IUD and at surgical removal of the abdominal IUD a small bowel perforation requiring bowel resection was required. Uterine perforation is a rare complication of IUD use occurring in approximately 1–1.3 in 1000. Risk factors for perforation include provider inexperience, retroverted uterus, immobile uterus, and myometrial defect from a previous cesarean delivery or myomectomy.https://doi.org/10.1002/ccr3.5589expulsionintrauterine contraceptive deviceintrauterine devicemedicated
spellingShingle Alexandria Carroll
Courtney Paradise
Katie Schuemann
Shannon Scott Schellhammer
Steve J. Carlan
Far migration of an intrauterine contraceptive device from the uterus to the small bowel
Clinical Case Reports
expulsion
intrauterine contraceptive device
intrauterine device
medicated
title Far migration of an intrauterine contraceptive device from the uterus to the small bowel
title_full Far migration of an intrauterine contraceptive device from the uterus to the small bowel
title_fullStr Far migration of an intrauterine contraceptive device from the uterus to the small bowel
title_full_unstemmed Far migration of an intrauterine contraceptive device from the uterus to the small bowel
title_short Far migration of an intrauterine contraceptive device from the uterus to the small bowel
title_sort far migration of an intrauterine contraceptive device from the uterus to the small bowel
topic expulsion
intrauterine contraceptive device
intrauterine device
medicated
url https://doi.org/10.1002/ccr3.5589
work_keys_str_mv AT alexandriacarroll farmigrationofanintrauterinecontraceptivedevicefromtheuterustothesmallbowel
AT courtneyparadise farmigrationofanintrauterinecontraceptivedevicefromtheuterustothesmallbowel
AT katieschuemann farmigrationofanintrauterinecontraceptivedevicefromtheuterustothesmallbowel
AT shannonscottschellhammer farmigrationofanintrauterinecontraceptivedevicefromtheuterustothesmallbowel
AT stevejcarlan farmigrationofanintrauterinecontraceptivedevicefromtheuterustothesmallbowel