Extrauterine migration of a mirena® intrauterine device: a case report.
BACKGROUND
The extrauterine migration of an intrauterine device (IUD) can be life threatening and require emergent surgical intervention and treatment. Migration is usually the result of IUD expulsion or uterine perforation.


OBJECTIVE
This case report describes a presentation of extrauterine migration of an IUD due to probable perforation.


METHODS
This is a case report of an uncommon but potentially dangerous outcome of IUD placement and use. The potential migration of an IUD and resultant uterine perforation must be considered in the differential diagnosis of any woman using this type of contraception who presents with abdominal pain. This report is unique due to the subtle presentation of a potentially life-threatening diagnosis.


CONCLUSIONS
This article presents the case, discusses the incidence, potential causes, predisposing factors, diagnostic modalities, and the course of treatment for this particular diagnosis.
Department of Emergency Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts 02118, USA.
Kristin
K
Carmody
Brad
B
Schwartz
Alan
A
Chang
D034841:Abdominal Cavity; D000328:Adult; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome