Asymptomatic intrauterine device migration with rectal perforation and tuboovarian abscess a rare case presentation| International Journal of Innovative Science and Research Technology

Asymptomatic Intrauterine Device Migration with Rectal Perforation and Tubo-Ovarian Abscess: A Rare Case Presentation

Authors : Hassnaa Sarhane; Kaoutar Bahida; Nouhaila Yartaouii; Fatima Zahra Belouaza; Mouhamed Balouch; Kaid Mouhamed; Nisrine Benouicha; Aziz Baydada

Volume/Issue : Volume 10 - 2025, Issue 8 - August

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DOI : https://doi.org/10.38124/ijisrt/25aug301

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Abstract : Intrauterine devices (IUDs) are widely used contraceptives. Migration or uterine perforation should always be suspected in cases of gynecologic infections. These rare complications can lead to serious problems in adjacent organs (1,2). We report a case of a 32-year-old woman, gravida 2 para 2, who presented for routine IUD follow-up with mild right iliac fossa discomfort. She had a copper IUD inserted two years earlier, with regular follow-up and no prior symptoms. Pelvic ultrasound revealed IUD migration associated with a right tubo-ovarian abscess, and a subsequent CT scan identified rectal perforation. The patient underwent successful laparoscopic management by a multidisciplinary team, including rectal and uterine repair and abscess drainage. The postoperative course was uneventful. This case highlights the importance of considering IUD migration in patients presenting with abdominal pain, even after long asymptomatic periods (3,4).

Keywords : Intrauterine Device (IUD), Migration, Tubo-Ovarian Abscess, Rectal Perforation, Laparoscopy.

References :

RKaislasuo J, Suhonen S, Gissler M, et al. Uterine perforation by intrauterine devices: clinical course and outcomes. Obstet Gynecol. 2013;122(2 Pt 1):341-348.
Heinemann K, Reed S, Moehner S, et al. Risk of uterine perforation with levonorgestrel-releasing and copper intrauterine devices in the European active surveillance study on intrauterine devices. Contraception. 2015;91(4):274-279.
Aoun J, Richa F, Akar M, et al. Laparoscopic management of a migrated intrauterine device causing rectal perforation. Case Rep Obstet Gynecol. 2017; 2017:5467284.
Markovitch O, Klein Z, Gidoni Y, et al. Extrauterine mislocated IUD: is surgical removal mandatory? Contraception. 2002;66(2):105-108.
Kaislasuo J, Suhonen S, Gissler M, et al. Extrauterine intrauterine devices: characteristics, risk factors, and outcomes. Hum Reprod. 2014;29(3):622-627.
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Boushehry R., Al‑Taweel T., Bandar A. et coll.Rare case of rectal perforation by an intrauterine device: Case report and review of the literature. Int J Surg Case Rep. 2022; 99:107610. — Cas d’une migraton rectale asymptomatique, approché par laparoscopie‑colonoscope.
Toumi O., Ammar H., Ghdira A. et coll. Pelvic abscess complicating sigmoid colon perforation by migrating intrauterine device: A case report and review of the literature. Int J Surg Case Rep. 2018; 42:60‑63. — Description d’un abcès pelvien après perforation sigmoïde par DIU; souligne l’importance d’une intervention chirurgicale malgré l’absence de symptômes initiaux.
Makni C., Souissi S., Saidani A. et coll. Endoscopic removal of intrauterine device perforating the sigmoid colon: Case report. Pan Afr Med J. 2022; 42:175. — Retrait endoscopique d’un DIU perforant le côlon sigmoïde.
Robayo‑Amortegui H., Rincon‑Vanegas M., Ballestas‑Blanquicet A. et coll. Laparoscopy approach to sigmoid colon perforation secondary to intrauterine device migration. Gynecol Surg. 2021; 18:9. — Fistule colouterine après migration asymptomatique d’un DIU, retrait réussi par laparoscopie.
Ben Hassine H., et coll. Gastrointestinal perforation caused by displaced contraceptive device: a case report. Pan Afr Med J. 2022; 49:13. — Description d’une perforation rectale avec abcès tubo‑ovarien, gérée par laparotomie pfannestiel Silva P.D., Larson K.M. Laparoscopic removal of a perforated intrauterine device from the perirectal fat. JSLS. 2000;4(2):159‑162.
— Cas historique de retrait laparoscopique d’un DIU migré dans le périrectum.
Braga L., Qi Y., Bi X., Guo Z., Chen H. Case report: Uterine perforation caused by migration of intrauterine devices. Frontiers Media (PMC). 2024; (exemple de migration asymptomatique à long terme).
Boortz H.E., Margolis D.J., Ragavendra N. et coll. Migration of intrauterine devices: radiologic findings and implications for patient care. Radiographics. 2012;32(2):335‑352. Revue sur les migrations d’IUD, comportements radiologiques et implications cliniques.

Rare case of rectal perforation by an intrauterine device: Case report and review of the literature - PMCSkip to main content Int J Surg Case Rep. 2022 Sep 8 ;99 :107610. doi: 10.1016/j.ijscr.2022.107610 RARE CASE OF RECTAL PERFORATION BY AN INTRAUTERINE DEVICE : CASE REPORT AND REVIEW OF THE LITERATURE...
DISCUSSION Transmigration of IUCD, a rare catastrophic complication of IUCD insertion, usually occurs at the time of insertion, as might have happened with our case since the lady was not able to...
Pelvic abscess complicating sigmoid colon perforation by migrating intrauterine device: A case report and review of the literature – PMC.

Intrauterine devices (IUDs) are widely used contraceptives. Migration or uterine perforation should always be suspected in cases of gynecologic infections. These rare complications can lead to serious problems in adjacent organs (1,2). We report a case of a 32-year-old woman, gravida 2 para 2, who presented for routine IUD follow-up with mild right iliac fossa discomfort. She had a copper IUD inserted two years earlier, with regular follow-up and no prior symptoms. Pelvic ultrasound revealed IUD migration associated with a right tubo-ovarian abscess, and a subsequent CT scan identified rectal perforation. The patient underwent successful laparoscopic management by a multidisciplinary team, including rectal and uterine repair and abscess drainage. The postoperative course was uneventful. This case highlights the importance of considering IUD migration in patients presenting with abdominal pain, even after long asymptomatic periods (3,4).

Keywords : Intrauterine Device (IUD), Migration, Tubo-Ovarian Abscess, Rectal Perforation, Laparoscopy.