Yahmadi A, Zenaidi H, Hsayaoui N, Rebii S, Mbarki C, et al. (2018) Paucisymptomatic Migrated Intrauterine Contraceptive Device to the Sigmoid Colon: A Case Report. Clin Med Rev Case Rep


© 2018 Yahmadi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2378-3656/1410239

Paucisymptomatic Migrated Intrauterine Contraceptive Device to the Sigmoid Colon: A Case Report

Abdelwahed Yahmadi1*, Hakim Zenaidi1, Najeh Hsayaoui2, Saber Rebii1, Choaouki Mbarki2, Hajer Bettaieb2, Hedhili Oueslati2 and Ayoub Zoghlami1

1Department of General Surgery, Trauma and Burns Center, Ben Arous, Tunisia

2Department of Gynecology & Obstetrics, Ben Arous -Yasminette Hospital, Tunisia



Migration of intrauterine contraceptive device (IUCD) to adjacent organs is rare but the most serious complication. Withdrawal of any migrated IUCD is advisable even if asymptomatic and Laparoscopic removal remain the gold standard, however sometimes finding the device intra-operatively is challenging for the surgeon.

Case presentation

We report a case of laparoscopic removal of migrated IUCD to the sigmoid colon. Computed tomography (CT) precisely located the migrated device embedded in the sigmoid colon. After failure of endoscopic attempt to remove the device, laparoscopy was then performed. On initial laparoscopic examination no adhesions were found, the uterus, ovaries & tubes were normal in appearance, however a small bud was identified on the anterior surface of the descending branch of the sigmoid colon. This bud was related to one arm of the T shaped IUCD in fluoroscopy. During dissection around the bud fortunately one arm of the device was seen and then the IUCD was easily extracted, then separate stitches were done to suture the opening of the colon. Postoperative outcomes were uneventful.


Migrated IUCD can be removed safely by laparoscopy. Preoperative precise localization is accurate and Intraoperative fluoroscopy guidance is helpful to find the missed device.