Case report of an unusual finding of intrauterine contraceptive device in the rectum

• Published in: International journal of surgery case reports Vol. 116; p. 109436
• Main Authors: Isikhuemen, M.E., Idolor, A.G., Uwagboe, C.U., Sodje, J.D.K., Anya, C.J., Okonofua, F.E.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.03.2024
• Subjects: Intrauterine contraceptive device; IUCD strings; Rectum; Uterine perforation; Intrauterine contraceptive device; IUCD strings; Rectum; Uterine perforation
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2024.109436

Intrauterine contraceptive device (IUCD) is a safe and effective method of contraception. It is however rarely associated with complications. Migration of this device to the rectum is very rare. We report a case of IUCD migrating to the rectum with the history of missing IUCD strings. A 32-year-old multipara presented 8 weeks following IUCD insertion with missing thread, ultrasound scan done showed a viable pregnancy with IUCD in-situ. Following vaginal examination, IUCD could not be retrieved. Pregnancy was allowed to continue for IUCD to be retrieved at delivery. She presented again about 6 weeks later with IUCD strings protruding through the rectum and was subsequently removed. Uterine perforation and migration of IUCD into the pelvic organs is an uncommon but major complication following insertion of the device. The risk of perforation appears to depend on type of device, skill of the operator and position of the uterus. Postpartum insertion, lactation and atrophic uterus also increase risk of perforation. perforation and migration of IUCD to the rectum is a rare but possible complication of following insertion of the device. Family planning providers should continue to undergo training and retraining to minimize complications associated with the use of IUCD. •IUCD migration is an uncommon complication following insertion.•Migration of this device to the rectum is rarely found in clinical practice.•Pregnancy and breastfeeding may be risk factors for IUCD migration.•This case shows migration of IUCD to the rectum which was also retrieved through the rectum.