Generalized Peritonitis Secondary to Ileal Perforation by a Retained Intrauterine Device in a 49-Year-Old Woman: A Case Report
DOI:
https://doi.org/10.69614/ejrh.v18i04.1137Abstract
Abstract:
Generalized peritonitis is a life-threatening condition often caused by gastrointestinal perforation. Intrauterine devices are commonly used contraceptive methods, and complications are rare but can include uterine perforation and migration into adjacent organs. The condition arises from the migration of the Intrauterine devices from the uterus into the abdominal cavity, where it can embed in and perforate the small bowel, leading to a severe peritonitis from spilling intestinal contents. We report a rare case of a 49-year-old female who developed generalized peritonitis secondary to ileal perforation caused by a retained intrauterine device. Early recognition and timely surgical intervention were crucial for a favorable outcome.
References
Gill RS, Mok D, Hudson M, Shi X, Birch DW, Karmali S. Laparoscopic removal of an intra-abdominal intrauterine device: case and systematic review. Contraception. 2012 Jan;85(1):15–8.
Markovitch O, Klein Z, Gidoni Y, Holzinger M, Beyth Y. Extrauterine mislocated IUD: is surgical removal mandatory? Contraception. 2002 Aug;66(2):105–8.
Biller J, Winegardner BS, Sleet M. Generalized Peritonitis Secondary to Perforated Uterine Pyometra. Cureus. 2022;14(10):4–9.
Kaislasuo J, Suhonen S, Gissler M, Lähteenmäki P, Heikinheimo O. Uterine perforation caused by intrauterine devices: clinical course and treatment. Hum Reprod. 2013 Jun;28(6):1546–51.
