Laparoscopic removal of a round ligament translocated intrauterine contraceptive device

ABSTRACT

We report a 24-year-old woman presented to university hospital Amir-Semnan on 10-Jan -2007 with history of lower abdominal pain and spotting after insertion of intrauterine device [copper-T 380A], 1 2 days earlier. On pelvic examination, abdominal ultrasonography, and hysteroscopy the IUCD was not inside the endometrial cavity. A laparoscopy was performed and a small [3-4 mm] perforation was seen in posterior left lateral portion of uterus and another perforation of the left round ligament and the end of one of horizontal arms of the IUCD was visible in the perforated round ligament. IUCD was removed by laparoscopic forceps from perforated left round ligament without any complication