Volume 46, Issue 4 (12-2022)                   Research in Medicine 2022, 46(4): 159-164 | Back to browse issues page

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Nouri B. A Case Report of Laparoscopic Surgery for Intrauterine Device Removal from Abdominal Cavity with Involvement of Rectum and 5 mm Port Site Hernia. Research in Medicine 2022; 46 (4) :159-164
URL: http://pejouhesh.sbmu.ac.ir/article-1-3182-en.html
Department of Obstetrics and Gynecology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , nouri@sbmu.ac.ir
Abstract:   (479 Views)
Previous Record and Aim: Uterine perforation occurs when an instrument passes or IUD )Intera uterine devices) through the uterus wall and can result in visceral Injury, hemorrhage, and infection.
Due to greater magnification and accuracy and other advantages of laparoscopic surgery, such as shorter hospital stay, less pain and bleeding, and faster return to work, we use laparoscopy to remove IUD from different places in the abdominal cavity. Intestinal and omentum herniation from the port site is a rare complication of laparoscopy.
The purpose of presentarticle is to investigate a case of IUD exit from the rectum by laparoscopy. This surgery was accompanied by a rare case of exit of the omentum and bowel from the 5 mm left lateral trocar site when the drain was exited
Case Presentation: A 26 years old woman from Bouseher, with a history of two cesarean section, received an       intra- uterine device (IUD) for contraception 10 daysafter delivery. Vaginal sonography confirmed a lack of IUD in the uterine cavity. Pelvic X-ray showed IUD near the right ovary. In laparoscopy, the adhesion of the rectum and right ovary was detached, IUD was removed from the site of adhesion of rectum and right ovary, and then rectum was repaired. During drain extraction, we noticed that the bowel and omentum were herniated from the 5 mm left lateral port site. After injection of local anesthesia and extension of the port site, the bowel and omentum were inverted in to the peritoneal cavity, and the fascia was repaired.
Conclusion: Immigrant IUDs should be removed whenever identified. The laparoscopic procedure is a safe and suitable method for most intra-abdominal migration.
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Type of Study: Case report | Subject: Gynecological and Obstetrical
Received: 2022/05/16 | Accepted: 2022/07/23 | Published: 2023/02/15

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