# Laparoscopic management of bowel perforation secondary to levonorgestrel-releasing intrauterine device migration: a case report and review of literature

## TL;DR

A rare case of bowel perforation caused by a long-migrated contraceptive device was successfully treated using laparoscopic surgery.

## Contribution

This case highlights laparoscopic surgery as a viable treatment for IUD-related bowel perforation.

## Key findings

- A levonorgestrel-releasing IUD migrated and caused bowel perforation over 22 years.
- Laparoscopic anterior resection successfully removed the IUD with uneventful recovery.
- Colonoscopy and CT confirmed the IUD's penetration into the colon.

## Abstract

Bowel perforation secondary to a levonorgestrel-releasing intrauterine device is exceptionally rare. We present the case of a woman who exhibited abnormal findings during a colonoscopy examination. Despite undergoing an intrauterine device (IUD) insertion procedure for contraception in 2000, attempts for its removal in 2007 were unsuccessful due to the inability to locate the IUD. In 2022, she presented with intermittent hematochezia and lower left abdominal pain. Subsequent colonoscopy and abdominal computed tomography confirmed the presence of the IUD penetrating the uterine wall and entering the colon. Laparoscopic anterior resection was performed, and the patient’s postoperative recovery was uneventful, indicating the viability of laparoscopic treatment as a valuable option.