Laparoscopic retrieval of a misplaced intrauterine contraceptive device translocated into the transverse colon and bladder: A case report

Abstract

Background: Intrauterine contraceptive device (IUCD) translocation is a rare but severe complication that can present challenges in patient identification, diagnosis, and management.

Case presentation: A 37-year-old para 3+0 presented to the gynecology clinic with a 12-year history of right inguinal pain. Pelvic ultrasound and lumbosacral x-ray showed a radiopaque foreign body in the pelvic cavity. Initial laparoscopic retrieval attempts had been unsuccessful, and she was scheduled for a repeat attempt. Intraoperatively, a hysteroscopy showed a normal endometrial cavity and normal ostia bilaterally with no IUCD visualization. On laparoscopy, the IUCD was located within a thick adhesion band connecting the transverse colon to the urinary bladder. Adhesiolysis was performed, and the IUCD was retrieved.

Conclusion: IUCD translocation can be prevented by proper insertion techniques and placement confirmation. When translocation is suspected, diagnostic imaging modalities are essential, and surgical removal by a multidisciplinary may be required