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An intrauterine contraceptive device: where did we find it after 29 years of insertion? A case report.
J Pak Med Assoc 2017; 67(1):131-133JP

Abstract

Intrauterine contraceptive devices (IUCD) are one of the most popular and modern means of contraception used worldwide. Some described complications include perforation, infection and ectopic pregnancy. Herein we report an uncommon complication of IUCD: perforation and migration in the terminal ileum. A 56-year-old woman presented to our institution with lower abdominal pain. She had had an IUCD placed 29 years previously. The IUCD was inserted in unsafe conditions since then it was prohibited in Romanian to use any contraception device or pills. The IUCD was placed clandestinely in uncertain condition and could never be checked after. An exploratory laparotomy evidenced the presence of IUCD migrated to terminal ileum. A 56-year-old woman presented to our institution with lower abdominal pain. She had had an IUCD placed 29 years previously. The IUCD was inserted in unsafe conditions since at that time it was prohibited in Romania to use any contraceptive device or pills. The IUCD was placed clandestinely in uncertain condition and a follow-up could not have been performed. An exploratory laparotomy evidenced the presence of IUCD which had migrated to the terminal ileum. This case demonstrates an unusual localisation of an IUCD in the ileum, but the particularity is that we found it after 29 years of its insertion and and the patient had no specific gastrointestinal symptoms.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Saint John Hospital, UMF Carol Davila Bucharest, Romania.Department of Obstetrics and Gynecology, Saint John Hospital, Bucharest, Romania.Department of Obstetrics and Gynecology, Saint John Hospital, Bucharest, Romania.Department of Obstetrics and Gynecology, UMF Carol Davila Bucharest, Saint Pantelimon Hospital, Romania.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28065971

Citation

Ples, Liana, et al. "An Intrauterine Contraceptive Device: Where Did We Find It After 29 Years of Insertion? a Case Report." JPMA. the Journal of the Pakistan Medical Association, vol. 67, no. 1, 2017, pp. 131-133.
Ples L, Sima RM, Moisei C, et al. An intrauterine contraceptive device: where did we find it after 29 years of insertion? A case report. J Pak Med Assoc. 2017;67(1):131-133.
Ples, L., Sima, R. M., Moisei, C., & Ionescu, C. A. (2017). An intrauterine contraceptive device: where did we find it after 29 years of insertion? A case report. JPMA. the Journal of the Pakistan Medical Association, 67(1), pp. 131-133.
Ples L, et al. An Intrauterine Contraceptive Device: Where Did We Find It After 29 Years of Insertion? a Case Report. J Pak Med Assoc. 2017;67(1):131-133. PubMed PMID: 28065971.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An intrauterine contraceptive device: where did we find it after 29 years of insertion? A case report. AU - Ples,Liana, AU - Sima,Romina Marina, AU - Moisei,Cristina, AU - Ionescu,Cringu Antoniu, PY - 2017/1/10/entrez PY - 2017/1/10/pubmed PY - 2019/7/2/medline KW - Intrauterine device, Ileum, Contraception, Case report. SP - 131 EP - 133 JF - JPMA. The Journal of the Pakistan Medical Association JO - J Pak Med Assoc VL - 67 IS - 1 N2 - Intrauterine contraceptive devices (IUCD) are one of the most popular and modern means of contraception used worldwide. Some described complications include perforation, infection and ectopic pregnancy. Herein we report an uncommon complication of IUCD: perforation and migration in the terminal ileum. A 56-year-old woman presented to our institution with lower abdominal pain. She had had an IUCD placed 29 years previously. The IUCD was inserted in unsafe conditions since then it was prohibited in Romanian to use any contraception device or pills. The IUCD was placed clandestinely in uncertain condition and could never be checked after. An exploratory laparotomy evidenced the presence of IUCD migrated to terminal ileum. A 56-year-old woman presented to our institution with lower abdominal pain. She had had an IUCD placed 29 years previously. The IUCD was inserted in unsafe conditions since at that time it was prohibited in Romania to use any contraceptive device or pills. The IUCD was placed clandestinely in uncertain condition and a follow-up could not have been performed. An exploratory laparotomy evidenced the presence of IUCD which had migrated to the terminal ileum. This case demonstrates an unusual localisation of an IUCD in the ileum, but the particularity is that we found it after 29 years of its insertion and and the patient had no specific gastrointestinal symptoms. SN - 0030-9982 UR - https://www.unboundmedicine.com/medline/citation/28065971/An_intrauterine_contraceptive_device:_where_did_we_find_it_after_29_years_of_insertion_A_case_report_ L2 - http://jpma.org.pk/full_article-text.php?article_id=8059 DB - PRIME DP - Unbound Medicine ER -