Rectal translocation of intrauterine contraceptive device: A rare and infrequent occurrence

Abstract

Displacement of copper intrauterine devices (IUDs) is not uncommon complication of these methods of contraception; many literatures have reported the translocation of IUDs to the peritoneum, bladder, and myometrium. A less common complication such as perforation of the ovary has equally been reported. Copper IUD penetrating the rectum is also a rare occurrence because of the anatomical relationship of the uterus and the rectum. This series aimed at highlighting a complication of copper IUD translocating through the uterus to the rectum. We present three cases of displaced IUD managed in our facility over a 2-month period. Two of the clients had their device inserted in primary facilities in the state and one in our institution. All the clients had laparotomy in view of their unusual symptoms. It is imperative for all facility providers to evaluate any client presenting with missing string both clinically and radiologically; they should also acquire or retrain on the criteria for correct insertion of Intra Uterine Contraceptive Device.

Keywords

• Copper device
• rectal
• translocation