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African Journal of Reproductive Health
Women's Health and Action Research Centre
ISSN: 1118-4841
Vol. 24, No. 4, 2020, pp. 213-217
Bioline Code: rh20073
Full paper language: English
Document type: Case Report
Document available free of charge

African Journal of Reproductive Health, Vol. 24, No. 4, 2020, pp. 213-217

 en The role of multimodality radiological imaging in extrauterine misplaced IUCD: A case report
Badu-Peprah, Augustina; Adu-Bredu, Theophilus K. & Adu-Takyi, Charles

Abstract

Intrauterine contraceptive device (IUCD) is among the commonly used contraceptive methods in the world including sub-Saharan Africa but have been associated with a number of complications that although rare, can occur. Uterine perforation is the most serious complication of the IUCD. Surgical management is required in cases with complete uterine perforation, in which the IUCD is partially or completely within the peritoneal cavity. We present a case of a 27year old para 2 woman reporting with mild lower abdominal pains and the absence of IUCD string in the vagina after its insertion following evacuation of the uterus 2 years prior to this study. With the utilization of multiple imaging modalities, an exploratory laparotomy was done to remove the migrated IUCD and repair of the perforated bowel and urinary bladder. (Afr J Reprod Health 2020; 24[4]: 213-217).

Keywords
Migrated IUCD; uterine perforation; ultrasonography; radiography; Computed Tomography

 
 fr
Badu-Peprah, Augustina; Adu-Bredu, Theophilus K. & Adu-Takyi, Charles

Résumé

Le dispositif contraceptif intra-utérin (IUCD) fait partie des méthodes contraceptives couramment utilisées dans le monde, y compris en Afrique subsaharienne, mais a été associé à un certain nombre de complications qui, bien que rares, peuvent survenir. La perforation utérine est la complication la plus grave de l'IUCD. Une prise en charge chirurgicale est nécessaire dans les cas de perforation utérine complète, dans laquelle l'IUCD est partiellement ou complètement dans la cavité péritonéale. Nous présentons le cas d'une femme Para 2 de 27 ans qui a rapporté avec des légères douleurs abdominales basses et l'absence de fil du dispositif contraceptif intra-utérin dans le vagin après son insertion suite à l'évacuation de l'utérus 2 ans avant cette étude. L'utilisation des multiples modalités d'imagerie , une laparotomie exploratoire a été réalisée pour retirer l'IUCD migré et réparer l'intestin et la vessie perforés. (Afr J Reprod Health 2020; 24[4]: 213-217).

Mots Clés
IUCD migré; perforation uterine; échographie; radiographie; Tomodensitométrie

 
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