RESUMEN
Intra-abdominal displacement of an intrauterine device (IUD) is a rare but serious complication. This is a case report of a 44-year-old woman who was referred to a surgical department with intermittent abdominal pain. Gynaecological examination and ultrasound failed to identify the patient's IUD. An abdominal CT scan confirmed the diagnosis of the intra-abdominally migrated IUD and the device was extracted by laparoscopy. Surgical removal of the migrating IUD is recommended to prevent long-term complications such as intra-abdominal adhesions, organ perforation, and fistula formation.
Asunto(s)
Dispositivos Intrauterinos , Laparoscopía , Perforación Uterina , Femenino , Humanos , Adulto , Perforación Uterina/diagnóstico , Perforación Uterina/etiología , Perforación Uterina/cirugía , Laparoscopía/efectos adversos , Remoción de Dispositivos/efectos adversos , Dispositivos Intrauterinos/efectos adversos , Dolor Abdominal/diagnóstico por imagen , Dolor Abdominal/etiologíaRESUMEN
Small bowel obstruction (SBO) due to clip adhaesions from the line of staples is a rare complication and is scarcely reported in the literature. In this case report, a ten-year-old boy underwent laparoscopic appendectomy and five days later developed early postoperative SBO. Diagnostic laparoscopy revealed internal herniation of bowel through a defect created by clip adhesion from the staple line to the adjacent mesentery. The clip was removed, the internal hernia resolved, and the patient discharged the same day. We recommend reviewing the line of staples after surgery.