Background: Migration of an intrauterine contraceptive device (IUCD) is a rare complication, and its retrieval is accomplished either by laparotomy or laparoscopy. Case: The case of a 35-year-old patient presenting with low back pain, who had undergone insertion of an IUCD 4 years earlier, is described. No gastrointestinal, urinary, or orthopedic cause could be identified to account for her symptoms. Imaging studies showed the IUCD to have migrated intraperitoneally to a retrosigmoid location. Results: The device was retrieved successfully with a single-incision laparoscopic approach, using conventional laparoscopic instruments. Conclusions: This first reported case describing the use of single-incision laparoscopic surgery for retrieval of a migrated IUCD confirms the feasibility and safety of this approach in the treatment of a rare complication. (J GYNECOL SURG 28:64)
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References
1.
GrimaldiL, De GiorgioF, AndreottaPD, AlessioMC, PiscicelliC, PascaliVL. Medicolegal aspects of an unusual uterine perforation with multiload-Cu 375R. Am J Forensic Med Pathol, 2005; 26:365.
ZakinD, SternWZ, RosenblattT. Complete and partial uterine perforation and embedding following insertion of intrauterine devices: I. Classification, complications, mechanism, incidence, and missing string. Obstet Gynecol Surv, 1981; 36:335.
