Case ReportOpen Access

Laparoscopic Removal of Intra Abdominal Migrated Intrauterine Device Involved in the Omentum

Juan Manuel Suárez Grau^1*, Estrella Rodríguez Agea², Luis Alfonso Carrasco Nestal³ and Carmen Forero Diaz⁴

DOI: 10.26717/BJSTR.2017.01.000268

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- ¹Department of General and Digestive Surgeon, Hospital of Riotinto, Huelva, Clinic Quirón “Sagrado Corazón” Seville, Spain
- ²Department of Anestesiology, Hospital of Riotinto, Huelva, Spain. University Hospital Virgen del Rocío, Seville, Spain
- ³Department of Gynecology, Hospital NISA Seville Aljarafe, Spain
- ⁴Department of Gynecology, Complejo Hospitalario de Huelva, Spain.

Received: July 26, 2017; Published: August 14, 2017

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Abstract

Background: The presence of an intrauterine device migrated into the abdominal cavity can be detected incidentally or due to complications (the most frequent abdominal pain, obstructive 8complications or cause of acute abdomen). We report the case of a woman of 35 years, with an intrauterin device (Mirena®) misslocated in the abdominal cavity incidentally 18 months after puerperium (6 months after implantation). After the detection by abdominal conventional X-ray and transvaginal sonography, the management was a laparoscopic surgery in order to remove the device. It was firmly adhered to the major omentum in the right low quadrant. The surgery was performed with no problems and the discharged of the patient was at 12 hours uneventful. The follow up at first month was correct in vaginal and abdominal exploration.

Conclusion: When detecting the migration of the device incidentally both conservative management and surgical treatment are contemplated in the literature. [1] We opted for a laparoscopic surgical treatment due to the potential consequences of perforation viscera, instususcepción, obstruction or infection from abandoned in the abdominal cavity devices [2].