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Combined Laparoscopic and Cystoscopic Retrieval of Forgotten Translocated Intrauterine Contraceptive Device.
Niger J Surg 2018 Jan-Jun; 24(1):48-51NJ

Abstract

The most commonly used long-term reversible female contraception is intrauterine contraceptive device (IUCD). Its use is however associated with documented complications. Uterine perforation, though rare, is arguably the most surgically important of all these complications. We report a case of a 48-year-old para 4+0 (4 alive) woman who had IUCD insertion 17 years earlier and had forgotten she had the device having had two children thereafter. The IUCD was subsequently translocated through the dome of the bladder into the peritoneal cavity with calculus formation around the tail and thread of the IUCD in the urinary bladder causing recurrent urinary tract infection. This "Collar Stud" effect made either cystoscopic or laparoscopic retrieval alone unsuccessful necessitating a combined approach. This case report highlights the need for a combined laparoscopic and cystoscopic approach in the retrieval of the unusual presentation of translocated IUCD.

Authors+Show Affiliations

Department of Surgery, Urology Unit, College of Medicine, Lagos University Teaching Hospital, University of Lagos, Lagos, Nigeria.Urology, Andrology, and Transplant Surgery Unit, Fortis Hospital, Bengaluru, Karnataka, India.Minimal Access Surgical Unit, Fortis Hospital, Bengaluru, Karnataka, India.Department of Surgery, Urology Unit, College of Medicine, Lagos University Teaching Hospital, University of Lagos, Lagos, Nigeria.Urology, Andrology, and Transplant Surgery Unit, Fortis Hospital, Bengaluru, Karnataka, India.Department of Surgery, Urology Unit, College of Medicine, Lagos University Teaching Hospital, University of Lagos, Lagos, Nigeria.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

29643735

Citation

Alabi, Taiwo O., et al. "Combined Laparoscopic and Cystoscopic Retrieval of Forgotten Translocated Intrauterine Contraceptive Device." Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society, vol. 24, no. 1, 2018, pp. 48-51.
Alabi TO, Keshavamurthy M, Ahmed S, et al. Combined Laparoscopic and Cystoscopic Retrieval of Forgotten Translocated Intrauterine Contraceptive Device. Niger J Surg. 2018;24(1):48-51.
Alabi, T. O., Keshavamurthy, M., Ahmed, S., Ojewola, R. W., Jain, M., & Tijani, K. H. (2018). Combined Laparoscopic and Cystoscopic Retrieval of Forgotten Translocated Intrauterine Contraceptive Device. Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society, 24(1), pp. 48-51. doi:10.4103/njs.NJS_18_17.
Alabi TO, et al. Combined Laparoscopic and Cystoscopic Retrieval of Forgotten Translocated Intrauterine Contraceptive Device. Niger J Surg. 2018;24(1):48-51. PubMed PMID: 29643735.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined Laparoscopic and Cystoscopic Retrieval of Forgotten Translocated Intrauterine Contraceptive Device. AU - Alabi,Taiwo O, AU - Keshavamurthy,Mohan, AU - Ahmed,Shabeer, AU - Ojewola,Rufus W, AU - Jain,Mahendra, AU - Tijani,Kehinde H, PY - 2018/4/13/entrez PY - 2018/4/13/pubmed PY - 2018/4/13/medline KW - Retrieval KW - translocated intrauterine contraceptive device KW - uterine perforation SP - 48 EP - 51 JF - Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society JO - Niger J Surg VL - 24 IS - 1 N2 - The most commonly used long-term reversible female contraception is intrauterine contraceptive device (IUCD). Its use is however associated with documented complications. Uterine perforation, though rare, is arguably the most surgically important of all these complications. We report a case of a 48-year-old para 4+0 (4 alive) woman who had IUCD insertion 17 years earlier and had forgotten she had the device having had two children thereafter. The IUCD was subsequently translocated through the dome of the bladder into the peritoneal cavity with calculus formation around the tail and thread of the IUCD in the urinary bladder causing recurrent urinary tract infection. This "Collar Stud" effect made either cystoscopic or laparoscopic retrieval alone unsuccessful necessitating a combined approach. This case report highlights the need for a combined laparoscopic and cystoscopic approach in the retrieval of the unusual presentation of translocated IUCD. SN - 1117-6806 UR - https://www.unboundmedicine.com/medline/citation/29643735/Combined_Laparoscopic_and_Cystoscopic_Retrieval_of_Forgotten_Translocated_Intrauterine_Contraceptive_Device_ L2 - http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2018;volume=24;issue=1;spage=48;epage=51;aulast=Alabi DB - PRIME DP - Unbound Medicine ER -