Asymptomatic small bowel serosa translocation of intra uterine device, A case report

Introduction: One of the serious complications of intra uterine device (IUD) is uterine perforation and displacement to abdominal organs. Displacement is usually accompanied with abdominal or pelvic pain and absence of string in vaginal examination. Therefore, it was decided to report an asymptomatic case of translocation of IUD to small bowel serosa with presence of string in vaginal exam. Patients: A ۳۰ years old woman was candidate for elective laparoscopic tubectomy ۴ months after IUD insertion. One month after IUD insertion transabdominal ultrasonography showed her IUD in proper position in uterine cavity. During the laparoscopy, tubal ligation omentum and small bowel adhesion to uterus were present. After adhesionlysis the IUD was embedded in serosa of small bowel and the string was present in uterine cavity. So, IUD removal was performed by laparoscopic grasp and there was no post operative complication. Conclusion: IUD translocation might be asymptomatic and presence of string in physical exam could not rule out the translocation.

Keywords:

Intra Uterine Devices , Translocation , Uterine Perforation , Intra Uterine Devices , Translocation , Uterine Perforation