title: Symptomatic cecal perforation by an intrauterine device with appendectomy removal.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA. astuck@lsuhsc.edu
authors.forename: Ashley
authors.initials: A
authors.lastname: Stuckey
authors.forename: Paul
authors.initials: P
authors.lastname: Dutreil
authors.forename: Eugenio
authors.initials: E
authors.lastname: Aspuru
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Nolan
mesh_terms: 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