Evidence map›Paper›PMID 42857810›Full record

ArticleInternational journal of surgery case reports2026

Laparoscopic management of an intramurally migrated intrauterine contraceptive device (IUCD) without serosal perforation: a case report.

Mekyus E Sanga, Daisy A Mhando, Justin N Ilunga, Daniel Michael, Peter Majinge

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mekyus E SangaDepartment of Obstetric and Gynaecology, Medical College, Aga Khan University, Dar es Salaam, Tanzania.ORCID https://orcid.org/0009-0006-6165-7139
Daisy A MhandoDepartment of Obstetric and Gynaecology, Medical College, Aga Khan University, Dar es Salaam, Tanzania.
Justin N IlungaDepartment of Obstetric and Gynaecology, Comprehensive Community-Based Rehabilitation in Tanzania (CCBRT) - Hospital, Dar es Salaam, Tanzania.
Daniel MichaelDepartment of Obstetric and Gynaecology, Comprehensive Community-Based Rehabilitation in Tanzania (CCBRT) - Hospital, Dar es Salaam, Tanzania.
Peter MajingeDepartment of Obstetric and Gynaecology, Comprehensive Community-Based Rehabilitation in Tanzania (CCBRT) - Hospital, Dar es Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction and importance: An intrauterine contraceptive device (IUCD) is a highly effective, long-term, and safe contraceptive method. However, serious complications, such as uterine perforation, can occur, particularly in high-risk women, thereby necessitating close follow-up. Case presentation: A 35-year-old woman, para 3 + 3, with 3 living children, all delivered by cesarean section, presented with persistent lower abdominal pain and vaginal bleeding 5 months postdelivery and IUCD insertion. The IUCD string was not visualized on either clinical examination or hysteroscopy. Ultrasonography suggested a migrated IUCD. Laparoscopy revealed an intramurally migrated IUCD, which was successfully removed, and she recovered well. Clinical discussion: Postpartum insertion of an IUCD increases the risk of displacement. When the IUCD string is not visualized, thorough evaluation is recommended for early diagnosis and management of this potentially serious complication. Conclusion: Routine follow-up after IUCD insertion is crucial, especially for high-risk women, to detect and manage migration early, with laparoscopy as the preferred treatment when feasible. However, laparotomy is still an optimal option in more complex cases.

Indexed as

case reporthysteroscopyintramural migrationintrauterine contraceptive device (IUCD)laparoscopyultrasonography

Identifiers

PMID42857810
PMCPMC13652490

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