A Rare Case of Retained Copper-T Intrauterine Contraceptive Device Migration with Caecal Perforation in Pregnancy Managed by Ileocecal Resection and Ileocolic Anastomosis
DOI:
https://doi.org/10.36283/ziun-pjmd15-2/032Abstract
Intrauterine contraceptive devices (IUCDs) are effective long‑acting reversible contraceptives but may rarely perforate the uterus and migrate to adjacent viscera, sometimes remaining asymptomatic for years.
A 33‑year‑old woman at 26 weeks’ gestation presented with right iliac fossa pain, fever, and tachycardia for 1 day. Intraoperative findings revealed a transmigrated Copper‑T device within the caecum, causing dual perforations of the caecum requiring ileocecal resection and end-to-end ileocolic anastomosis.
Maternal recovery was uneventful, and fetal viability was preserved throughout the entire hospital stay. The patient was discharged on the 5th postoperative day. Long‑standing retained IUCDs can cause serious gastrointestinal complications and contraceptive failure; prompt surgical management yields favorable outcomes.
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