Asymptomatic uterine perforation and IUD migration to the broad ligament: A case report

Abstract

Rationale: Uterine perforation is a serious complication of intrauterine contraceptive device (IUD) placement. However, as complete uterine perforation and extrauterine migration may remain asymptomatic, thorough localization of the IUD is important prior to reinsertion. Patient concerns: A 33-year-old patient who has had 4 IUD insertions, wherein the location of the first IUD (inserted 14 years ago) was not identified prior to reinsertion and replacement of the subsequent three. She presented to hospital with a 6-month history of abdominal pain. Pelvic ultrasonography (US), radiography, hysteroscopy and laparoscopy examinations confirmed that a retained migrated IUD in the right broad ligament. Diagnosis: Uterine perforation, IUD migration to the broad ligament. Interventions: The patient underwent hysteroscopy and laparoscopy. Outcomes: Both IUDs were successfully removed without any complications.