Perforation of the small bowel by a previously inserted intrauterine contraceptive device.

Jung, Yeon Jung; Chi, Kyung Suk; Kim, Jun Soo; Heo, Hyeok; Hwang, Jee Young; Kim, Do Gyun; Yang, Hoe Saeng; Sim, Jae Chul

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(12):2646-2650.
Published online December 1, 2006.

Perforation of the small bowel by a previously inserted intrauterine contraceptive device.

Yeon Jung Jung, Kyung Suk Chi, Jun Soo Kim, Hyeok Heo, Jee Young Hwang, Do Gyun Kim, Hoe Saeng Yang, Jae Chul Sim

Department of Obstetrics and Gynecology, Dongguk University College of Medicine, Gyeong-ju, Korea. simjc@dongguk.ac.kr

Abstract

Intrauterine contraceptive device (IUD) is the most common contraceptive method in the world, but it exists a little risk of uterine perforation and even more severe risk such as a perforation of intra-abdominal organs. In this case, the patient recognized that the previously inserted IUD was translocated but she was asymptomatic without any management. After insertion of the second IUD, she visited our hospital for lower abdominal pain. The abdominal X-ray finding and transvaginal sonography revealed one translocated IUD in peritoneal cavity and another IUD in intrauterine cavity. Thus, we report a case with the laparoscopic diagnosis of small bowel perforation by a previously inserted IUD and its removal by segmental resection of small bowel after mini-laparotomy, along with the brief review.

Key Words: Intrauterine contraceptive device (IUD), Small bowel perforation