Combined Laparoscopic and Cystoscopic Retrieval of Forgotten Translocated Intrauterine Contraceptive Device
No Thumbnail Available
Date
2018-01
Authors
Alabi, T.
Keshavamurthy, M.
Ojewola, W.
Tijani, K.
Journal Title
Journal ISSN
Volume Title
Publisher
Walters Kluwer/Medknow
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
Description
Staff publications
Keywords
Retrieval , Translocated intrauterine contraceptive device , Uterine perforation , Research Subject Categories::MEDICINE::Surgery
Citation
Alabi TO, Keshavamurthy M, Ahmed S, Ojewola RW, Jain M, Tijani KH. Combined laparoscopic and cystoscopic retrieval of forgotten translocated intrauterine contraceptive device. Niger J Surg 2018;24:48-51.