Case Reports

doi: https://dx.doi.org/10.25005/2074-0581-2017-19-1-129-133
THE CASE OF SUCCESSFUL SURGICAL TREATMENT OF INTRAUTERINE DEVICE MIGRATED INTO THE PELVIC CAVITY

О. Nematzoda, М.М. Мarizoeva, D.А. Rahmonov, Sh.Sh. Аmonov, F.B. Bokiev, U.S. Ismatova

Public Institution «Republican Scientific Center of Cardiovascular Surgery», Dushanbe, Tajikistan
City Maternity Hospital №2 of the Health Department, Dushanbe, Tajikistan

Objective: The article presents the results of timely diagnosis and successful surgical treatment of the patient with intrauterine device (IUD) migrated into the pelvic cavity. The period of IUD implantation lasted 10 days. Hospital visit was caused by increasing of the pain intensity in small pelvis and the appearance of dysuric phenomena. Ultrasound investigation detected that the migration of the intrauterine device occurred through the left fallopian tube. The end of the intrauterine device thread was located in the lumen of the left fallopian tube. Ultrasound signs of the IUD were manifested by hyperechoic and relatively long structure with the acoustic shadows. The IUD was not detected in the uterine cavity during gynecological examination. For more accurate topical diagnosis of the migrated IUD the patient underwent radiography of the abdominal cavity and small pelvis and the dislocation of the IUD was confirmed. The surgery of the patient was performed through laparoscopic approach. The intraoperative complications were not detected. The surgery lasted for 35 minutes. The drainage tube was removed on the second postoperative day. Antibiotics, nonsteroidal anti-inflammatory drugs and spasmolytics were prescribed to the patient postoperatively. The length of hospital stay was 4 days. Follow-up period in one and three months determined a lack of any complaints in the patient.

Keywords: Intrauterine device, contraception, migration, perforation.

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Authors informations:

Nematzoda Okildjon, Candidate of Medical Sciences, Leading Researcher at Republican Scientific Center of Cardiovascular Surgery, Ministry of Health and Social Protection of Population of the Republic of Tajikistan

Marizoeva Mahina Mahmadulloevna, obstetrician-gynecologist at City Maternity Hospital № 2 of the Health Department, Dushanbe, Republic of Tajikistan

Rahmonov Djamahon Ahmedovich, Candidate of Medical Sciences, surgeon at Department of Endosurgery at Republican Scientific Center of Cardiovascular Surgery, Ministry of Health and Social Protection of Population of the Republic of Tajikistan

Amonov Shuhrat Shodievich, Candidate of Medical Sciences, surgeon at Department of Endosurgery at Republican Scientific Center of Cardiovascular Surgery, Ministry of Health and Social Protection of Population of the Republic of Tajikistan

Bokiev Fathullo Bahshulloevich, Candidate of Medical Sciences, Head of Department of Endosurgery at Republican Scientific Center of Cardiovascular Surgery, Ministry of Health and Social Protection of Population of the Republic of Tajikistan

Ismatova Umiya Subhonovna, obstetrician-gynecologist at City Maternity Hospital № 2 of the Health Department, Dushanbe, Republic of Tajikistan

Address for correspondence:

Nematzoda Okildjon

Candidate of Medical Sciences, Leading Researcher at Republican Scientific Center of Cardiovascular Surgery, Ministry of Health and Social Protection of Population of the Republic of Tajikistan

734003, Republic of Tajikistan, Dushanbe, Sanoi Street 33

Tel.: (+992) 915 250055

E-mail: sadriev_o_n@mail.ru