This was the rare case of three intra-uterine devices (IUD) in one lady. One was lost, another was translocated intra-abdominally, and the other was still functioning for 20 years. This report highlighted the importance of in-depth knowledge of health education, proper diagnostic evaluation and the role of laparoscopy in this management.
Heinemann K, Reed S, Moehner S, Minh TD. Risk of uterineperforation with levonorgestrel-releasing and copper intrauterine devices in the European Active Surveillance Study on Intrauterine Devices. Contraception. 2015April;91(4): 274-279.
Andersson K, Ryde-Blomqvist E, Lindell K, Odlind V, Milsom I. Perforations with intrauterine devices: Report from a Swedish survey. Contraception. 1998 April;57(4):251-255.
Caliskan E, Oztürk N, Dilbaz BO, Dilbaz S. Analysis of risk factors associated with uterine perforation by intrauterine devices. The European Journal of Contraceptionand Reproductive Health Care. 2003 Sept;8(3):150-155.
Boortz HE, Margolis DJ, Ragavendra N, Patel MK, Kadell BM. Migration of Intrauterine Devices: Radiologic Findings and Implications for Patient Care. Radio Graphics. 2012; 32(2):335- 352.
Kho KA, Chamsy DJ. Perforated Intraperitoneal Intrauterine Contraceptive Devices: Diagnosis, Management and Clinical Outcomes. The Journal of Minimally Invasive Gynecology 2014;21(4):596-601.
Goldstuck ND, Steyn PS. Intrauterine Contraception After Cesarean Section and During Lactation: A Systematic Review. International Journal of Women's Health 2013 Dec 4;5:811-818.
Goldstuck ND, Wildesmeerch D. Role of uterine forces in intrauterine device embedment, perforationandexpulsion. International Journal of Women's Health. 2014 Aug 7;6:735- 744.
Markovitch O, Klein Z, Gidoni Y, Holzinger M, Beyth Y. Extrauterine mislocated IUD: is surgical removal mandatory. Contraception. 2002;66:105-108.
Adoni A, Ben Chetrit A. The management of intrauterine devices following uterine perforation. Contraception. 1991 Jan;43(1):77-81.
Chen CP, Hsu TC, Wang W. Ileal penetration by a Multiload- Cu375 intrauterine contraceptive device. A case report with review of the literature. Contraception. 1998 Nov;58(5): 295-304.
Heinberg EM, McCoy TW, Resad P. The Perforated Intrauterine Device: Endoscopic Retrieval. JSLS. 2008;12(1): 97-100.