Associate Professor Department of Obsterics 1, Research Center of Abnormal Uterine Bleeding, Semnan University of Medical Sciences, Semnan, Iran.

AUTHORS

Sanam Moradan 1 , *

1 Associate Professor Department of Obsterics, Research Center of Abnormal Uterine Bleeding, Semnan University of Medical Sciences, Semnan, Iran.

How to Cite: Moradan S. Associate Professor Department of Obsterics 1, Research Center of Abnormal Uterine Bleeding, Semnan University of Medical Sciences, Semnan, Iran., Hormozgan Med J. 2014 ; 18(2):e87827.

ARTICLE INFORMATION

Hormozgan Medical Journal: 18 (2); e87827
Published Online: April 07, 2013
Article Type: Case Report
Received: October 15, 2012
Accepted: April 07, 2013

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Abstract

Introduction: One of the serious complications of intra uterine device (IUD) is uterine
perforation and displacement to abdominal organs. Displacement is usually accompanied with
abdominal or pelvic pain and absence of string in vaginal examination. Therefore, it was
decided to report an asymptomatic case of translocation of IUD to small bowel serosa with
presence of string in vaginal exam.
Patients: A 30 years old woman was candidate for elective laparoscopic tubectomy 4 months
after IUD insertion. One month after IUD insertion transabdominal ultrasonography showed
her IUD in proper position in uterine cavity. During the laparoscopy, tubal ligation omentum
and small bowel adhesion to uterus were present. After adhesionlysis the IUD was embedded
in serosa of small bowel and the string was present in uterine cavity. So, IUD removal was
performed by laparoscopic grasp and there was no post operative complication.
Conclusion: IUD translocation might be asymptomatic and presence of string in physical
exam could not rule out the translocation.

Keywords

Intra Uterine Devices Translocation Uterine Perforation

© 2014, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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