Korean J Obstet Gynecol.  2006 Dec;49(12):2646-2650.

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

• Jung YJ
• Chi KS
• Kim JS
• Heo H
• Hwang JY
• Kim DG
• Yang HS
• Sim JC

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.

Keyword

Intrauterine contraceptive device (IUD); Small bowel perforation

MeSH Terms

Abdominal Pain
Contraception
Diagnosis
Humans
Intrauterine Devices*
Peritoneal Cavity
Uterine Perforation