Symptomatic cecal perforation by an intrauterine device with appendectomy removal.
BACKGROUND
The intrauterine device is the most used contraceptive in the world, but it is not without risk of perforation of intra-abdominal organs. We report a perforation of the cecum and removal via appendectomy.


METHODS
A 23-year-old woman developed chronic abdominal pain after insertion of an intrauterine device 8 weeks postpartum. At laparoscopy, the device was found in the cecum and removed via appendectomy.


CONCLUSIONS
Perforation is more common in the immediate postpartum state. An alternate method of removal via appendectomy proved useful.
Stuckey
Ashley
A
Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA. astuck@lsuhsc.edu
Dutreil
Paul
P
Aspuru
Eugenio
E
Nolan
Thomas E
TE
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000328:Adult; D001062:Appendectomy / Q000379:methods*; D002432:Cecum; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000601:surgery*; D007434:Intrauterine Devices / Q000009:adverse effects*; D007813:Laparotomy / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome