Volume 18, Number 2 (6-2014)                   hmj 2014, 18(2): 163-167 | Back to browse issues page


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Moradan S. Asymptomatic small bowel serosa translocation of intra uterine device, A case report. hmj. 2014; 18 (2) :163-167
URL: http://hmj.hums.ac.ir/article-1-1239-en.html

Department of Obsterics
Abstract:   (4916 Views)

Introduction: One of the serious complications of intra uterine device (IUD) is uterine perforation and translocation of it to abdominal organs. Translocation 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 candid 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 the presence of string in physical exam could not roule out the translocation.

Keywords: Intra Uterine Devices – Translocation - Uterine Perforation
Citation: Moradan S. Asymptomatic small bowel serosa translocation of intra uterine device, A case report. Hormozgan Medical Journal 2014;18(2):163-167.
Full-Text [PDF 1491 kb]   (499 Downloads)    
Type of Study: Research | Subject: General
Received: 2014/05/25 | Accepted: 2014/05/25 | Published: 2014/05/25

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