Рентгенология & Радиология, 2019, LVIII 244-247

Intrauterine contraceptive device migrated in peritoneal cavity

  1. Marinova, I. Mihaylova

Abstract.

Intrauterine contraceptive spiral (HCV) is one of the most effective methods of birth control. In rare cases HCV could cause an uterine perforation with migration in the pelvic, or peritoneal cavity. It is possible to affect adjacent tissues and organs – sigmoid bowel, bladder, ureter, appendix, small intestine or ovary. The presented clinical case is an accidental computer tomographic finding of migrated asymptomatic HCV in the peritoneal cavity. According to the medical history, the HCC was placed 35 years ago. This article discusses the risk factors for HCV perforation, the necessary prevention measures and the diagnostic imaging methods for the HCV localization. The penetration of the HCV into the intestines may cause serious complications, such as occlusion, perforation, ischemia, mesenteric injury, adhesions, or fistulization. In all clinical cases with migrated HCV in peritoneal cavity, surgical removal is required, including also the asymptomatic cases.

Key words: INTRAUTERINE DEVICE. UTERINE PERFORATION.

MIGRATED INTRAUTERINE DEVICE. PERITONEAL CAVITY