Abstract

INTRAUTERINE DEVICE MIGRATION: A CASE REPORT OF TWO

N. Samouh, S. Mahdaoui, H. Bouffetal, K. Gazzaz, K. Benhadougua and M. Charkaoui*

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Abstract

Migration of an intrauterine device (IUD) is a rare complication. We report two cases of IUD migration. The first one, 23 years old, who, following the insertion of an IUD after a delay of 24 days, presented acute pelvic pain of increasing intensity with yellowish leucorrhoea. And the 2nd 29-year-old, who had been wearing an IUD for 4 years, presented with irritative urinary symptoms associated with pelvic pain. The diagnosis was then evoked by ultrasound, then confirmed by an Xray of the abdomen without preparation (ASP) and then a coagulation test. The diagnosis was evoked by ultrasound, confirmed by an X-ray of the abdomen without preparation (ASP) and then a laparoscopy was performed. Treatment consisted of endoscopic removal of the IUD. This case shows the importance of rigor during IUD insertion and of regularly monitoring its location to reduce the incidence of uterine perforations and ectopic migrations.

Keywords: Intrauterine device, Intra pelvic migration, Uterine perforation, Intravesical migration.