Migrated intrauterine device presented as anterior abdominal wall abscess

Abstract

The migrated intrauterine contraceptive device can cause various presentations depending on the location, some may have late presentations like our case presenting after 5 years and after pregnancy and delivery by cesarean section. A 34-year-old lady had painful suprapubic mass for 1-week, with fever. She had history of intrauterine device (IUD) placed before 5 years. The patient became pregnant 1 year before presentation and delivery done by cesarean section. Examination showed a tender mass 3 cm above the scar of the previous cesarean section. The clinical picture was consistent with abdominal wall abscess. During surgery pus drained and the IUD extracted from the cavity of the abscess. High index of suspicion is needed when there is history of missed IUD and any abdominal complain. Abdominal X-ray and ultrasound will give better diagnostic value. Most cases need surgical extraction of the device which can be done laparoscopically.