Missing intrauterine device migrated to terminal ileum resembling adnexal mass: A case report

Mohammad Kamal Tani; Wais Farda; Haider Khan; Omer Malikzai; Zabihullah Sharif

doi:10.1016/j.ijscr.2024.109279

Missing intrauterine device migrated to terminal ileum resembling adnexal mass: A case report

Int J Surg Case Rep. 2024 Feb:115:109279. doi: 10.1016/j.ijscr.2024.109279. Epub 2024 Jan 19.

Authors

Mohammad Kamal Tani¹, Wais Farda², Haider Khan³, Omer Malikzai⁴, Zabihullah Sharif⁵

Affiliations

¹ General Surgery Department, Isteqlal Hospital, Alaudin Square, Darulaman Road, Kabul, Afghanistan.
² General Surgery Department, Isteqlal Hospital, Alaudin Square, Darulaman Road, Kabul, Afghanistan. Electronic address: waisfarda@gmail.com.
³ Afghan Mercy Hospital, Kabul, Afghanistan.
⁴ Pathology Department, Cure International Hospital, Darulaman Road, Kabul, Afghanistan.
⁵ Surgery Department, Cure International Hospital, Darulaman Road, Kabul, Afghanistan.

Abstract

Introduction and importance: Although IUD has become more popular in recent years, its migration through uterine perforation is a rare but serious complication.

Presentation of case: We present the case of a young otherwise healthy woman with a missing IUD that had penetrated terminal ileum.

Clinical discussion: The incidence of uterine perforation after IUD insertion has been reported 1.3 to 1.6 per 1000 insertions. Although a rare complication, it can cause serious problems requiring major surgery.

Conclusion: Uterine perforation and migration of IUD is a rare but serious complication that should be considered in all missing IUD threads.

Keywords: Adnexal mass; IUD; Terminal ileum; Uterine perforation.

Publication types

Case Reports