Migrated intrauterine contraceptive device into urinary bladder and peritoneal cavity: A friend turned foe if forgotten

Abstract

Objective: Detecting the cause and management of intraperitoneal migration of IUD.Summary of Background Data: A 52-year-old female gravida 9, para 9, alive 9, post hysterectomy, presented to the outpatient department for abdominal pain and was operated for migrated IUD through urinary bladder to intra-peritoneum.Material and Method: Careful and elaborated history was taken. X-ray KUB, USG whole abdomen with pelvis, CT scan whole abdomen with pelvis done. Exploratomy laparotomy was done and a foreign body (IUD) was retrieved.Result: Removal of intraperitoneal IUD after 12 years.Conclusion: The uterus contracted during puerperium, which accelerated the perforation of the uterus and displacement of the IUD. Efforts should be made to avoid IUD migration. After IUD insertion, a regular examination to ensure its proper position is necessary and important.