Asymptomatic uterine perforation and IUD migration to the broad ligament: A case report

Rationale:Uterine perforation is a serious complication of intrauterine contraceptive device (IUD) placement. However, as complete uterine perforation and extrauterine migration may remain asymptomatic, thorough localization of the IUD is important prior to reinsertion.Patient concerns:A 33-year-old patient who has had 4 IUD insertions, wherein the location of the first IUD (inserted 14 years ago) was not identified prior to reinsertion and replacement of the subsequent three. She presented to hospital with a 6-month history of abdominal pain. Pelvic ultrasonography (US), radiography, hysteroscopy and laparoscopy examinations confirmed that a retained migrated IUD in the right broad ligament.Diagnosis:Uterine perforation, IUD migration to the broad ligament.Interventions:The patient underwent hysteroscopy and laparoscopy.Outcomes:Both IUDs were successfully removed without any complications.