Accidental Journeys: Intrauterine Contraceptive Device Migration to the Sigmoid Colon and Right Ovary – A Report of Two Cases

Saleh  Al-wageeh; Faisal Ahmed; Qasem Alyhari; Abdulfattah Altam

doi:10.18502/crcp.v8i6.16235

Saleh Al-wageeh Department of General Surgery, School of Medicine, Ibb University, Ibb, Yemen.
Faisal Ahmed Department of Urology, School of Medicine, Ibb University, Ibb, Yemen.
Qasem Alyhari Department of General Surgery, School of Medicine, Ibb University, Ibb, Yemen.
Abdulfattah Altam Department of General Surgery, School of Medicine, 21 September University, Sana’a, Yemen

DOI: https://doi.org/10.18502/crcp.v8i6.16235

Keywords: Case Report; Intrauterine Contraceptive Device; Ectopic Migrations; Sigmoid Colon; Adnexal Organs

Abstract

Ectopic migration of intrauterine contraceptive devices (IUCDs) to neighboring organs is infrequent, but can lead to severe consequences. This article presents two cases of IUCD migration resulting in serious outcomes, including sigmoid colon penetration in the first case (a 25-year-old) and right ovary penetration and contraceptive failure leading to pregnancy in the second case (a 19-yearold). The IUCD was inserted 6 months ago and 2 years ago in the first and second cases, respectively. Both cases underwent surgical exploration and IUCD removal. Fortunately, both patients experienced uneventful recoveries without any complications. In conclusion, although uncommon, IUCD ectopic migration may result in contraceptive failure and, in some cases, organ perforation. Thorough evaluation during care visits is necessary for proper IUCD placement, and radiological assessment should be performed in cases of a ‘missed IUCD,’ even if the patient is asymptomatic. Timely removal of an ectopic IUCD is strongly advised to minimize potential risks.