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Indian Journal of Obstetrics and Gynecology

Volume  7, Issue 2, April-June 2019, Pages 327-329
 

Case Report

The Unusual Case of a Copper T Migrating to the Ovary

Aritra Maji1, Aditi C Ramachandra2

1Assistant Professor, 2Senior Resident, Department of Obstetrics and Gynecology, MVJ Medical College and Research Hospital, Bengaluru, Karnataka 562114, India.

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7219.35

Abstract

Extrauterine migration of like Copper T is an well reported complication of intrauterine contraceptive device, most of the times occurring at the time of insertion. Migration of Copper T into the peritoneal cavity can present as acute abdomen. Common sites of migration of IUCD are bladder, rectosigmoid. However migration of Copper T in the ovary is an extremely rare event. Here is a case of a 23 year old pregnant lady with intrauterine gestation of 11+2 weeks associated with migration of IUCD into the ovary. The approach was exploratory laparotomy, on which Copper T was seen completely embedded with right ovary, followed by safe removal of the IUCD while conserving the ovary. Hence, to conclude careful insertion of Copper T by trained hand and patient education regarding missing thread is of utmost importance to reduce untoward complications of IUCD.

Keyword: Contraceptive; Peritoneal; Bladder; Rectosigmoid; Gestation; Laparotomy; Ovary; IUCD; Cu-T.


Corresponding Author : Aditi C Ramachandra