Ovarian embedding of a transmigrated intrauterine device: a case report and literature review.
OBJECTIVE
To report an unusual location of a transmigrated IUD which become embedded in the right ovary causing chronic pelvic pain and dyspareunia.


METHODS
A 22-year-old woman who had an IUD (Copper T), inserted 7 years ago presented with complaint of lower abdominal pain. Pelvic ultrasonographic examination revealed ovarian embedding of the IUD. Laparoscopic IUD removal was successfully performed.


CONCLUSIONS
De novo lower abdominal pain in a woman with an IUD in situ should alert the clinician to the possibility of total or partial transmigration of the device into the pelvis or abdomen. Ovarian penetration is very rare and this is the second case of IUD transmigration into the ovary reported in the medical literature.
Verma
Usha
U
Department of Obstetrics and Gynecology (D-50), Miller School of Medicine, Jackson Memorial Hospital, University of Miami, 016960, Miami, FL 33101, USA. uverma@med.miami.edu
Verma
Nupur
N
D004414:Dyspareunia / Q000209:etiology*; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications / Q000601:surgery*; D006801:Humans; D007435:Intrauterine Devices, Copper / Q000009:adverse effects*; D010535:Laparoscopy; D010053:Ovary / Q000293:injuries* / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology*; D014595:Uterine Perforation / Q000209:etiology; D055815:Young Adult