Case Report

Asymptomatic Ileal Perforation Due To Dislocated Intrauterine Device (IUD) And Treated With Minilaparotomy: A Case Report


  • Yusuf Yıldırım
  • Kenan Ertopçu
  • İsa Özelmas
  • Emre Gültekin
  • Şivekar Tınar

Turk J Obstet Gynecol 2011;8(3):219-123

Intrauterine device (IUD) is one of the most commonly used methods of contraception in Turkey. In the course of insertion of IUD which is simple method to application, uterine perforation can occur during it as an undesired complication. At %15 of uterin perforation cases related dislocated IUD, neighbour organs especially small bowel is affected from this. Asymptomatic intestinal perforation related IUD is uncommon. In this study, the case whose IUD is dislocated in abdomen which perfored ileum after uterin perforation and has no symptom and which is recognized after complicated with pregnancy was discussed. She wanted to termination of pregnant and after this application she was treated by operating with minilaparotomy and removing dislocated IUD with ileal enterotomy and primary reperation. Asymptomatic intestinal perforation related IUD is hard to identify. Abdominal X-ray and pelvic ultrasound can show dislocated IUD but most cases are recognized on laparotomy or laparoscopy which is used for removing IUD. When intraabdominal IUD is localized well, minilaparotomy is suitable for removing IUD. Asymptomatic intestinal IUD can usually be treated without any intestinal resection.

Keywords: IUD, uterine perforation, ileal laceration.