Intrauterine system in extrauterine location
DOI:
https://doi.org/10.33448/rsd-v10i5.14585Keywords:
Contraception; Contraceptive methods; Uterine perforation; Hysterectomy; Computed tomography.Abstract
The intrauterine system (IUS) is an effective and reversible contraceptive method, very popular in emerging countries. However, in some cases, aggravating factors may occur, such as displacement of the IUS, which is a rare complication. The migration of the IUS may cause uterine perforation, either during or after insertion, which can be asymptomatic or present clinical symptoms ranging from abnormal bleeding to fistula formation. We report a case of a 31-year-old patient, IUS user, who complained of moderate pain in the hypogastric region. During a hysterectomy, it was found that the IUS was in extrauterine location.
References
Agacayak, E., Tunc, S. Y., Icen, M. S., Oguz, A., Ozler, A., Turgut, A., & Basaranoglu, S. (2015). Evaluation of predisposing factors, diagnostic and treatment methods in patients with translocation of intrauterine devices. Journal of Obstetrics and Gynaecology Research, 41, 735-741.
Barnett, C., Moehner, S., Minh, T. D., & Heinemann, K. (2017). Perforation risk and intra-uterine devices: results of the EURAS-IUD 5-year extension study. The European Journal of Contraception & Reproductive Health Care, 22, 424-428.
Coelho, J. C., Gonçalves, C. G., & Graf, C. M. (2003). Laparoscopic treatment of peri-appendicitis caused by intrauterine contraceptive device. Arquivos de Gastroenterologia, 40, 45-46.
Ferguson, C. A., Costescu, D., Jamieson, M. A., & Jong, L. (2016). Transmural migration and perforation of a levonorgestrel intrauterine system: a case report and review of the literature. Contraception, 6, 81-86.
Heinemann, K., Reed, S., Moehner, S., & Minh, T. D. (2015). Risk of uterine perforation with levonorgestrel-releasing and copper intrauterine devices in the European Active Surveillance Study on Intrauterine Devices. Contraception, 91, 274-279.
Ho, K. A., & Chamsy, D. J. (2014). Perforated intraperitoneal intrauterine contraceptive devices: Diagnosis, management and clinical outcomes. Journal of Minimally Invasive Gynecology, 21, 596-601.
Kaplanoğlu, M., Bülbül, M., Yüce, T., Kaplanoğlu, D., & Aban, M. (2015). Mislocated extrauterine intrauterine devices: diagnosis and surgical management. Journal Of The Turkish-German Gynecological Association, 16, 91-95.
Nouioui, M. A, Taktak, T., Mokadem, S., Mediouni, H., Khiari, R., & Samir Ghozzi, S. (2020). A mislocated intrauterine device migrating to the urinary bladder: An uncommon complication leading to stone formation. Caso Report in Urology, 2020, 1-4.
Rowlands, S., Oloto, E., & Horwell, D. H. (2016). Intrauterine devices and risk of uterine perforation: Current perspectives. Open Access Journal of Contraception, 7, 19-32.
Sun, X., Xue. M., Deng, X, Lin, Y., Tan, Y., & Wei, X. (2018). Clinical characteristic and intraoperative findings uterine perforation patients in using of intrauterine devices (IUDs). Gynecological Surgery, 15,3.
Teixeira, J. P., Rosa Neto, F. R., Costa, R. E., Cintra, T. R, Costa, C. L., Vieira, I. L., ... Gomes, D. A. (2019). Paciente com perfuração uterina assintomática após inserção de dispositivo intrauterino: Relato de caso e revisão de literatura. Revista de Medicina e Saúde de Brasília, 8, 18-24.
Yang X, Duan X, & Wu T. (2017). Ureteric obstruction caused by a migrated intrauterine device. Urology Case Reports, 10, 33-35.
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Copyright (c) 2021 João Paulo Pereira Leão; Isabella Miranda Esteves Orsi; Alex Sandro Leão; Talles Dias Orsi; Daniela Maggioni Pereira Leão; Paula Miranda Esteves Orsi
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