Combined Laparoscopic and Cystoscopic Retrieval of Forgotten Translocated Intrauterine Contraceptive Device

• Published in: Nigerian journal of surgery Vol. 24; no. 1; pp. 48 - 51
• Main Authors: Alabi, Taiwo, Keshavamurthy, Mohan, Ahmed, Shabeer, Ojewola, Rufus, Jain, Mahendra, Tijani, Kehinde
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01-01-2018; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Case Report; Complications and side effects; Contraceptives; Cystoscopy; Laparoscopy; Retrieval; translocated intrauterine contraceptive device; uterine perforation; Retrieval; translocated intrauterine contraceptive device; uterine perforation
• ISSN: 1117-6806; 2278-7100
• DOI: 10.4103/njs.njs_18_17

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.