Migrated IUCD into the Pelvic Organs and Abdomen: Case Series
The intrauterine contraceptive device (IUCD) is a popular form of long acting reversible birth control (LARC) for women with reported effectiveness of over 99%. It has low cost, very effective and has few side effects. Despite having low complications rate, a rare but serious complication of its extra uterine migration is reported in the literature. The exact cause of its perforation and migration out of the uterus is not exactly known however it may be related to the time of insertion, multiparity, operators experience and previous cesarean sections. Its migration can be seen in a number of locations such as a peritoneal cavity, fallopian tubes, large and small bowel, omentum and mesentry and also into the bladder. Its migration into the bladder is associated with urinary symptoms and IUCD itself acts as a foreign body resulting in calcifications and calculus formation around it. Its migration into the bowel may result in bowel obstruction and fistula formation. It may also lead to inflammation and abscess formation. It may also migrate extra uterine and remain there for years without any serious complications. We report seven cases of migrated IUCD into multiple extra uterine locations which were retrieved successfuly with no significant postoperative complications.
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